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NPI 1932146545

NPI 1932146545 : VISUAL HEALTH AND SURGICAL CENTER INC : PALM SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1932146545
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISUAL HEALTH AND SURGICAL CENTER INC 
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Dates
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    Enumeration Date     |    06/01/2006
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    2889 10TH AVE N STE 306 
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    City                 |    PALM SPRINGS
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    State                |    FL
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    Zip                  |    33461-3045
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    Country              |    US
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    Telephone            |    561-964-0707
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    Fax                  |    239-985-7118
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Provider Business Mailing Address
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    Address Line         |    2889 10TH AVE N STE 306 
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    City                 |    PALM SPRINGS
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    State                |    FL
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    Zip                  |    33461-3045
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    Country              |    US
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    Telephone            |    561-964-0707
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    Fax                  |    561-467-4175
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ABIGAIL  WALLER 
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    Credential           |    
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    Telephone            |    561-964-0707
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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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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    
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