Organization
ECSA OPTICAL COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W HUND III MD (MANAGER)
(904) 829-2286
Entity
Organization
Contact information
Practice address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
(904) 829-5447
Mailing address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
(904) 829-5447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ME68633
FL
Other
Enumeration date
07/16/2006
Last updated
10/08/2012
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