Vitreo Retinal Surgeons Llc

NPI 1194714485 - Ophthalmology - 207W00000X

NPI Details
NPI 1194714485
Enumeration Date 10/19/2005
Last Updated 09/15/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THOMAS G THOMAS
Position PHYSICIAN SURGEON OWNER
Phone (352) 597-2604
Fax (352) 596-0520
Practice Location
11373 CORTEZ BLVD
STE 400
BROOKSVILLE FL, 34613-5414, US
Phone (352) 597-2604
Fax (352) 596-0520
Business Location
11373 CORTEZ BLVD
STE 400
BROOKSVILLE FL, 34613-5414, US
Phone (352) 597-2604
Fax (352) 596-0520
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number OS04712
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According to our database, Vitreo Retinal Surgeons Llc NPI is 1194714485, taxonomy code is 207W00000X and license number is OS04712, license state is located at Florida. Vitreo Retinal Surgeons Llc physically located at 11373 Cortez Blvd, Brooksville FL, 34613-5414. NPI Number 1033115704 has the healthcare provider type.

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1194714485 NPI number is provided on an as is basis without warranty of any kind. 1194714485 is maintained by the National Plan & Provider Enumeration System. The contents of Vitreo Retinal Surgeons Llc are for informational purposes only.