Pelican Plaza Optical

NPI #1023295763 in Sarasota, Florida

Provider Information

NPI Number
1023295763
Entity Type
Organization
Organization Name
Pelican Plaza Optical
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 24, 2008
Last Updated
Mar 24, 2008

Practice Location

Address
8390 S TAMIAMI TRL
State
Florida
ZIP Code
34238-2934
Phone
(941) 966-1559

Authorized Official

Name
MR. JOHN GRONDAHL, D.O.
Title
OPTICIAN/OWNER
Phone
(941) 966-1559

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier
Durable Medical Equipment & Medical Supplies

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