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General NPI Number Information
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NPI Number | 1295446805
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Entity Type | Organization
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Legal Business Name | FLAGLER EYE CARE,INC.
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 10 SE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33131-1504
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Country | US
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Telephone | 305-374-8983
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33131-1504
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Country | US
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Telephone | 305-374-8983
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYMOND S JOHNSTON
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Credential | DO
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Telephone | 786-426-8991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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