Organization
EYE SPECIALISTS OF MID FLORIDA, PA
Active
Parent organization
EYE SPECIALISTS OF MID FLORIDA, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE SPECIALISTS OF MID FLORIDA, P.A.
Authorized official
DANIEL WELCH M.D. (PRESIDENT)
(863) 294-3504
Entity
Organization
Contact information
Practice address
1050 US HIGHWAY 27, SUITE 1, CLERMONT, FL 34714-7508
(352) 394-8705
(352) 394-2074
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
(863) 294-8305
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME32357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0585110003
DMERC
—
Enumeration date
10/23/2009
Last updated
02/27/2013
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