Organization
MONA PATEL OD PA
Active
Other names
Bayhead Eye Centre, OD.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA PATEL OD (OWNER PRESIDENT)
(407) 322-2230
Entity
Organization
Contact information
Practice address
820 W LAKE MARY BLVD STE 104, SANFORD, FL 32773-5946
(407) 322-2230
(407) 330-6287
Mailing address
820 W LAKE MARY BLVD STE 104, SANFORD, FL 32773-5946
(407) 322-2230
(407) 330-6287
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111721000
—
FL
Enumeration date
12/04/2006
Last updated
03/08/2022
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