Ophthalmic Laboratory St Josephs Hospital INC

NPI #1700087822 in Tamap, Florida

Provider Information

NPI Number: 1700087822
Entity Type: Organization
Organization Name: Ophthalmic Laboratory St Josephs Hospital INC
Primary Specialty: Ophthalmology
Enumeration Date: May 29, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 2608 W AZEELE ST
Address 2: #3
City: Tamap
State: Florida
ZIP Code: 33609
Phone: (813) 872-0480

Authorized Official

Name: MRS. CLARA CHRIST BERRYMAN, CO
Title: ORTHOPTIST SECRETARY TREASURER
Phone: (813) 872-0480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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