Organization
EYE SPECIALISTS OF MID FLORIDA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA TORRES (CREDENTIALING SPECIALIST)
(863) 294-3504
Entity
Organization
Contact information
Practice address
202 MAGNOLIA AVE, AUBURNDALE, FL 33823-4204
(863) 294-3504
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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