Organization
EYES OFF THE AVENUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MARTIN OPTICIAN (PARTNER/OWNER)
(407) 690-9538
Entity
Organization
Contact information
Practice address
7 11TH ST, SAINT CLOUD, FL 34769-3922
(407) 690-9538
Mailing address
7 11TH ST, SAINT CLOUD, FL 34769-3922
(407) 690-9538
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
FL
Other
Enumeration date
01/04/2013
Last updated
01/14/2013
Update your record
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