PROVISION LASER EYE CENTER PA

VENICE, FL
NPI1184616146
Entity TypeOrganization
Authorized ContactSCOTT P DURRETT
Owner
941-493-0311
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
Enumeration Date2005-08-16
Last Update Date2011-12-21
Business Address
PROVISION LASER EYE CENTER PA
1191 JACARANDA BLVD
VENICE, FL 34292-4518
Phone number: 941-493-0311
Mailing Address
PROVISION LASER EYE CENTER PA
1191 JACARANDA BLVD
VENICE, FL 34292-4518
Phone number: 941-493-0311
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