MACULA AND DIABETIC EYE CENTER LLC NPI 1922333186

NPI Information

MACULA AND DIABETIC EYE CENTER LLC is a specialist in Bradenton, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MACULA AND DIABETIC EYE CENTER LLC NPI is 1922333186. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4916 26TH ST W
STE 200
BRADENTON, FL
ZIP 34207-712
Phone: (941) 567-4078
Fax: (941) 896-7878

The provider's authorized official is Peter G Livingston .
The authorized official title is President and has the following contact phone number (941) 539-6779.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 3/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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