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NPI Code Detail

MEDICARE: CIAMBRONE VISION OD PL

MEDICARE: CIAMBRONE VISION OD PL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPC3324FL

General Provider Information

NPI Number : 1316125693
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIAMBRONE VISION OD PL
Provider Business Mailing Address
First Line : 4444 W VINE ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5315
Country : US
Telephone Number : 407-390-0585
Fax Number : 407-397-9231
Provider Business Practice Location Address
First Line : 4444 W VINE ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5315
Country : US
Telephone Number : 407-390-0585
Fax Number : 407-397-9231
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. ANDREW CIAMBRONE
Credential : OD
Telephone Number : 407-390-0585
Provider Enumeration Date : 02/08/2008
Last Update Date : 01/10/2011

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