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NPI Code Detail

MEDICARE: FOCUS LIMITED INC

MEDICARE: FOCUS LIMITED INC
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
1261Q00000XClinic/CenterOPC2933FL

General Provider Information

NPI Number : 1669789483
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOCUS LIMITED INC
Provider Business Mailing Address
First Line : 1232 PLANTATION DR
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-8637
Country : US
Telephone Number : 850-785-3426
Fax Number :
Provider Business Practice Location Address
First Line : 725 N TYNDALL PKWY
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-3219
Country : US
Telephone Number : 850-785-3426
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS LEE PENDERGRAST
Credential : O.D.
Telephone Number : 850-785-3426
Provider Enumeration Date : 09/01/2010
Last Update Date : 09/01/2010

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Directions to “FOCUS LIMITED INC ” Practice Location

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