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General NPI Number Information
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NPI Number | 1487860169
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Entity Type | Organization
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Legal Business Name | VISION SPECIALTY ASSOCIATES, P.A.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 13161 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-7804
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Country | US
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Telephone | 352-597-0410
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Fax | 352-515-0750
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Provider Business Mailing Address
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Address Line | 4359 35TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33714-3717
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Country | US
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Telephone | 727-914-8616
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Fax | 727-914-8610
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ADAM J FURMAN
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Credential | OD
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Telephone | 727-914-8616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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