Seashore Retina LLC
NPI #1225440365 in Port Richey, Florida
Provider Information
- NPI Number
- 1225440365
- Entity Type
- Organization
- Organization Name
- Seashore Retina LLC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- May 23, 2014
- Last Updated
- May 23, 2014
Practice Location
- Address
- 11031 US HIGHWAY 19
- Address 2
- SUITE 106
- City
- Port Richey
- State
- Florida
- ZIP Code
- 34668-2213
- Phone
- (216) 235-7061
Authorized Official
- Name
- AHMAD B TARABISHY, MD
- Title
- MANAGER
- Phone
- (216) 235-7061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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