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MOUNT DORA OPHTHALMOLOGY ASC LLC

Surgery Yellow Pages

Mount Dora, Florida

Provider NPI: 1497728984

Organization Information:
Organization Name:  MOUNT DORA OPHTHALMOLOGY ASC LLC


Practice Location:
17564 US HIGHWAY 441  MOUNT DORA, FL 32757 US
Tel: 352-735-4100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
FL876

Other Provider Identifiers:

IssuerNumberStateType
079101600FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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