Organization
PASADENA EYE CENTER, LLC
Active
Parent organization
PASADENA EYE CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASADENA EYE CENTER, LLC
Authorized official
DR. DAVID E HALL M.D. (MEDICAL DIRECTOR)
(727) 343-3004
Entity
Organization
Contact information
Practice address
6950 CENTRAL AVE, ST PETERSBURG, FL 33707-1210
(727) 343-3004
(727) 343-9521
Mailing address
6950 CENTRAL AVE, ST PETERSBURG, FL 33707-1210
(727) 343-3004
(727) 343-9521
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5451200001
MEDICARE DME
FL
Enumeration date
12/10/2009
Last updated
12/10/2009
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