Provision Laser Eye Center PA

NPI #1316085111 in Venice, Florida

Provider Information

NPI Number
1316085111
Entity Type
Organization
Organization Name
Provision Laser Eye Center PA
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 2, 2007
Last Updated
Dec 21, 2011

Practice Location

Address
1191 JACARANDA BLVD
City
Venice
State
Florida
ZIP Code
34292-4518
Phone
(941) 493-0311

Authorized Official

Name
DR. SCOTT P DURRETT, M.D.
Title
OWNER
Phone
(941) 493-0311

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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