3d Vision Eye Surgery Center Pa

NPI 1245569508 - Ophthalmology - 207W00000X

NPI Details
NPI 1245569508
Enumeration Date 12/16/2009
Last Updated 12/16/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ALLEN THOMAS ALLEN
Position DIRECTOR
Phone (407) 590-3333
Fax (386) 492-7500
Practice Location
1893 N CLYDE MORRIS BLVD
SUITE 100
DAYTONA BEACH FL, 32117-5535, US
Phone (407) 590-3333
Fax (386) 492-7500
Business Location
1893 N CLYDE MORRIS BLVD
SUITE 100
DAYTONA BEACH FL, 32117-5535, US
Phone (407) 590-3333
Fax (386) 492-7500
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number ME80695
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According to our database, 3d Vision Eye Surgery Center Pa NPI is 1245569508, taxonomy code is 207W00000X and license number is ME80695, license state is located at Florida. 3d Vision Eye Surgery Center Pa physically located at 1893 N Clyde Morris Blvd, Daytona Beach FL, 32117-5535. NPI Number 1033115704 has the healthcare provider type.

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1245569508 NPI number is provided on an as is basis without warranty of any kind. 1245569508 is maintained by the National Plan & Provider Enumeration System. The contents of 3d Vision Eye Surgery Center Pa are for informational purposes only.