Estero Retina

NPI #1932500634 in Estero, Florida

Provider Information

NPI Number: 1932500634
Entity Type: Organization
Organization Name: Estero Retina
Primary Specialty: Ophthalmology
Enumeration Date: Sep 12, 2014
Last Updated: Sep 12, 2014

Practice Location

Address: 9500 CORKSCREW PALMS CIR
City: Estero
State: Florida
ZIP Code: 33928-3307
Phone: (321) 222-3937

Authorized Official

Name: MS. KARLA KELLAM
Title: ADMINISTRATOR
Phone: (904) 713-2126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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