Organization
KIDSEYERX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BATES-FRIZZELL (OWNER)
(772) 202-0629
Entity
Organization
Contact information
Practice address
915 SE OCEAN BLVD STE 4, STUART, FL 34994-2426
(772) 202-0629
Mailing address
915 SE OCEAN BLVD STE 4, STUART, FL 34994-2426
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104816000
—
FL
Enumeration date
06/24/2020
Last updated
06/24/2020
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