Organization
MILLENNIUM EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE LAURETTA SEIDE-JUSTIN O.D. (PRESIDENT)
(407) 292-9812
Entity
Organization
Contact information
Practice address
6601 OLD WINTER GARDEN RD, SUIT 104, ORLANDO, FL 32835-1221
(407) 292-9812
(407) 292-9813
Mailing address
6601 OLD WINTER GARDEN RD, SUIT 104, ORLANDO, FL 32835-1221
(407) 292-9812
(407) 292-9813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC003955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621147000
—
FL
Enumeration date
06/21/2006
Last updated
06/22/2011
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