| |
895 Outer Road, Orlando, FL 32814-6652 | |
(407) 644-4477 | |
(407) 644-9549 |
Full Name | |
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Type | Facility |
Speciality | Specialist |
Location | 895 Outer Road, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629274055 | NPI | - | NPPES |
063398401 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC4255 (Florida) | Secondary |
174400000X | Specialist | ME57203 (Florida) | Primary |
Provider Name | Cynthia E Franco |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982897948 PECOS PAC ID: 3173613411 Enrollment ID: I20071226000311 |
Provider Name | Eugenio F Bird |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467481580 PECOS PAC ID: 0345140240 Enrollment ID: I20120216000398 |
Mailing Address | Practice Location Address |
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895 Outer Road, Orlando, FL 32814-6652 Ph: (407) 644-4477 | 895 Outer Road, Orlando, FL 32814-6652 Ph: (407) 644-4477 |