Tampa Bay Optometric Group Pa

NPI 1083771596 - Optometrist - 152W00000X

NPI Details
NPI 1083771596
Enumeration Date 01/03/2007
Last Updated 12/31/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY GREGORY
Position DIRECTOR OF ADMINISTRATION
Phone (727) 345-3360
Fax
Practice Location
2143 TYRONE BLVD N
ST PETERSBURG FL, 33710-4023, US
Phone (727) 345-3360
Fax
Business Location
PO BOX 40510
ST PETERSBURG FL, 33743-0510, US
Phone (727) 361-0431
Fax (727) 344-7952
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Tampa Bay Optometric Group Pa NPI is 1083771596, taxonomy code is 152W00000X Tampa Bay Optometric Group Pa physically located at 2143 Tyrone Blvd N, St Petersburg FL, 33710-4023. NPI Number 1033115704 has the healthcare provider type.

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1083771596 NPI number is provided on an as is basis without warranty of any kind. 1083771596 is maintained by the National Plan & Provider Enumeration System. The contents of Tampa Bay Optometric Group Pa are for informational purposes only.