Organization
DRY EYE CLINIC OF SARASOTA OLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL DE LA TORRE JR. OD (OPTOMETRIST)
(941) 544-4997
Entity
Organization
Contact information
Practice address
5500 BEE RIDGE RD STE 104, SARASOTA, FL 34233-1502
(941) 544-4997
Mailing address
5500 BEE RIDGE RD STE 104, SARASOTA, FL 34233-1502
(941) 544-4997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104058300
—
FL
Enumeration date
08/01/2022
Last updated
08/01/2022
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