Organization
EYE SITE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. LUEDKE (PRES)
(813) 677-2995
Entity
Organization
Contact information
Practice address
9433 BALM RIVERVIEW RD STE 102, RIVERVIEW, FL 33569-5120
(813) 677-2995
(813) 677-5549
Mailing address
9433 BALM RIVERVIEW RD STE 102, RIVERVIEW, FL 33569-5120
(813) 677-2995
(813) 677-5549
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC2762
FL
Other
Enumeration date
06/24/2010
Last updated
09/22/2011
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