Retina Macula Specialists Pllc

NPI #1134304884 in Kissimmee, Florida

Provider Information

NPI Number: 1134304884
Entity Type: Organization
Organization Name: Retina Macula Specialists Pllc
Primary Specialty: Specialist
Enumeration Date: Dec 31, 2007
Last Updated: Feb 16, 2011

Practice Location

Address: 720 W OAK ST
Address 2: SUITE 301
City: Kissimmee
State: Florida
ZIP Code: 34741-4989
Phone: (407) 931-1510

Authorized Official

Name: MR. JAIME MEMBRENO, M.D.
Title: OWNER
Phone: (407) 931-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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