| |
2031 Little Rd, New Port Richey, FL 34655-1294 | |
(727) 375-0300 | |
(727) 375-1240 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2031 Little Rd, New Port Richey, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750478632 | NPI | - | NPPES |
40595A | Other | FL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2031 Little Road, New Port Richey, FL 34655-1294 Ph: (727) 375-0300 | 2031 Little Rd, New Port Richey, FL 34655-1294 Ph: (727) 375-0300 |