Organization
GENERATION ONE INC
Active
Other names
ADVANCED VISION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISE BENVENUTO M.D. - OPHTHALMOLOGY (PRESIDENT)
(561) 687-1414
Entity
Organization
Contact information
Practice address
2532 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33409-4006
(561) 687-1414
(561) 697-4445
Mailing address
2532 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33409-4006
(561) 687-1414
(561) 697-4445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
DO4886
FL
156FX1800X
Optician
DO6145
FL
207W00000X
Ophthalmology Physician
Primary
ME94259
FL
Other
Enumeration date
06/29/2012
Last updated
12/04/2012
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