Florida Eye Lab LLC

NPI #1124519988 in Gainesville, Florida

Provider Information

NPI Number: 1124519988
Entity Type: Organization
Organization Name: Florida Eye Lab LLC
Primary Specialty: Optometrist
Enumeration Date: May 28, 2018
Last Updated: May 28, 2018

Practice Location

Address: 3321 SW ARCHER RD
City: Gainesville
State: Florida
ZIP Code: 32608-1745
Phone: (561) 275-2020

Authorized Official

Name: JACKIE BENNETT
Title: CREDENTIALING SPECIALIST
Phone: (561) 433-6009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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