Total Eye Care Surgery Center INC

NPI #1598791105 in Leesburg, Florida

Provider Information

NPI Number
1598791105
Entity Type
Organization
Organization Name
Total Eye Care Surgery Center INC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 24, 2006
Last Updated
Nov 12, 2015

Practice Location

Address
640 S LAKE ST
State
Florida
ZIP Code
34748-5927
Phone
(352) 728-1952

Authorized Official

Name
MICHAEL PENNACHIO, M.D.
Title
PRESIDENT
Phone
(352) 728-1717

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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