Organization
FAMILY EYE CENTER SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY B. TRAWICK O.D. (OWNER/ MANAGING MEMBER)
(863) 644-7773
Entity
Organization
Contact information
Practice address
5125 S. LAKELAND DR, SUITE 1, LAKELAND, FL 33813-2578
(863) 644-7773
(863) 646-2809
Mailing address
5125 S. LAKELAND DR, SUITE 1, LAKELAND, FL 33813-2578
(863) 644-7773
(863) 646-2809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC-1885
FL
Other
Enumeration date
12/08/2010
Last updated
04/27/2011
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