Organization
EYE SPECIALISTS OF MID FLORIDA, PA
Active
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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