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General NPI Number Information
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NPI Number | 1467177360
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Entity Type | Organization
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Legal Business Name | ECB EYE FLORIDA CORP
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 8001 S ORANGE BLOSSOM TRL STE 1560
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City | ORLANDO
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State | FL
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Zip | 32809-7654
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Country | US
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Telephone | 939-644-1781
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Fax |
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Provider Business Mailing Address
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Address Line | VILLAS DE TINTILLO A14 CALLE A
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City | GUAYNABO
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State | PR
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Zip | 00966-1675
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Country | US
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Telephone | 939-644-1781
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Fax | 321-352-7419
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. CARLOS NEVARES
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Credential |
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Telephone | 939-644-1781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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