Organization · NPI-2

Advanced Care Eye Center Limited Liability Company

Ophthalmology · Brandon, FL

NPI number1477745552
StatusActive
Last updated in NPPESSep 23, 2014

Details

NPI
1477745552
Entity type
Organization (NPI-2)
Legal business name
Advanced Care Eye Center Limited Liability Company
Organization subpart
No
Enumeration date
Aug 13, 2007
Last updated
Sep 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyME98257FLYes

Other names

  • Advanced Eyecare Institute (Doing Business As)

Practice location

325 S Parsons Ave
Brandon, FL 33511-5228

Phone 813-876-2020 · Fax 813-385-5008

Mailing address

307 S Bungalow Park Ave
Unit B
Tampa, FL 33609-3159

Phone 813-878-2020 · Fax 813-385-5008

Authorized official

Dilip Rathinasamy
Owner
8138782020

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