Organization
LASIK PRO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DENBESTE O.D. (PRESIDENT/OWNER)
(407) 245-3636
Entity
Organization
Contact information
Practice address
105 BONNIE LOCH CT, SUITE A, ORLANDO, FL 32806-2909
(407) 245-3636
(407) 245-3667
Mailing address
105 BONNIE LOCH CT, SUITE A, ORLANDO, FL 32806-2909
(407) 245-3636
(407) 245-3667
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1632
FL
Other
Enumeration date
07/31/2007
Last updated
02/05/2008
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