Organization
LIGHTHOUSE LASERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL MILLS MD (OWNER)
(855) 989-2020
Entity
Organization
Contact information
Practice address
1300 SHORELINE DR, SUITE 104, GULF BREEZE, FL 32561-4765
(855) 989-2020
(850) 290-5952
Mailing address
1300 SHORELINE DR, SUITE 104, GULF BREEZE, FL 32561-4765
(855) 989-2020
(850) 290-5952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
FL
207W00000X
Ophthalmology Physician
Primary
—
FL
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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