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Organization

NICHOLAS LE OD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS LE OD (MANANGING MEMBER)
(904) 613-7503
Entity
Organization

Contact information

Practice address
4750 MILLENIA PLAZA WAY, ORLANDO, FL 32839-2434
(407) 541-0021
Mailing address
4250 ALAFAYA TRL, SUITE 212-311, OVIEDO, FL 32765-9412
(904) 613-7503

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4337
FL

Other

Enumeration date
07/06/2012
Last updated
07/06/2012
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