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NPI Code Detail

MEDICARE: FLORIDA EYE WELLNESS LLC

MEDICARE: FLORIDA EYE WELLNESS LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1477397321
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA EYE WELLNESS LLC
Provider Business Mailing Address
First Line : 9537 RIVERCHASE DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-5732
Country : US
Telephone Number : 727-967-7288
Fax Number :
Provider Business Practice Location Address
First Line : 8701 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-5349
Country : US
Telephone Number : 727-848-9571
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. CHRISTINE YAMAN
Credential : OD
Telephone Number : 727-967-7288
Provider Enumeration Date : 06/24/2024
Last Update Date : 06/24/2024

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Directions to “FLORIDA EYE WELLNESS LLC ” Practice Location

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