Organization
DEEP CREEK EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BUTTERY RADISH (MANAGER)
(941) 764-6517
Entity
Organization
Contact information
Practice address
375 KINGS HWY, PUNTA GORDA, FL 33983-5222
(941) 979-6186
Mailing address
65 CABELLO ST, PUNTA GORDA, FL 33983-5206
(941) 764-6517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001796
FL
Other
Enumeration date
06/23/2008
Last updated
08/15/2008
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