Organization
FAMILY EYEWEAR
Active
Other names
CENTER FOR EYE CARE AND SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILIVIANO J MATAMOROS MD (OWNER)
(772) 337-5332
Entity
Organization
Contact information
Practice address
1821 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5544
(772) 337-5332
(772) 337-5373
Mailing address
1821 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5544
(772) 337-5332
(772) 337-5373
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
112519
FL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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