Organization
EDWARD L. MATUSIK, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD L MATUSIK OD (PRESIDENT)
(407) 859-1071
Entity
Organization
Contact information
Practice address
1017 W OAK RIDGE RD STE A, ORLANDO, FL 32809-4723
(407) 859-1071
(407) 859-1075
Mailing address
1017 W OAK RIDGE RD STE A, ORLANDO, FL 32809-4723
(407) 859-1071
(407) 859-1075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1238
FL
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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