Organization
SPECOPTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADRA ALI-MOHAMED OPTICIAN DO (CEO)
(813) 716-3593
Entity
Organization
Contact information
Practice address
10347 CROSS CREEK BLVD STE C4, TAMPA, FL 33647-2993
(813) 716-3593
Mailing address
10347 CROSS CREEK BLVD STE C4, TAMPA, FL 33647-2993
(813) 716-3593
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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