Macula and Diabetic Eye Center LLC

NPI #1922333186 in Bradenton, Florida

Provider Information

NPI Number: 1922333186
Entity Type: Organization
Organization Name: Macula and Diabetic Eye Center LLC
Primary Specialty: Specialist
Enumeration Date: Oct 6, 2009
Last Updated: Mar 24, 2011

Practice Location

Address: 4916 26TH ST W
Address 2: STE 200
City: Bradenton
State: Florida
ZIP Code: 34207-1712
Phone: (941) 567-4078

Authorized Official

Name: PETER G LIVINGSTON, M.D.
Title: PRESIDENT
Phone: (941) 539-6779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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