Organization
BALDWIN PARK EYE CARE PA
Active
Other names
Baldwin Park Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIASGHAR MEHEBOOB JAGANI OD (PRESIDENT)
(407) 979-4829
Entity
Organization
Contact information
Practice address
4829 NEW BROAD ST, ORLANDO, FL 32814-6629
(407) 979-4829
(407) 369-4250
Mailing address
4829 NEW BROAD ST, ORLANDO, FL 32814-6629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/12/2019
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