Lake Nona Ophthalmology Pl
Lake Nona Ophthalmology Pl is an Ophthalmology Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
Practice location Address checks out
6718 Lake Nona Blvd Ste 140Orlando, FL 32827-7984
Phone: (407) 857-3937
Fax: (407) 392-0420
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Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence ME111106 (FL) |
|---|
Record details
| NPI number | 1508132986 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chirag Patel — Managing Member · (352) 978-4896 |
| NPI enumerated | March 29, 2012 |
| Last updated in NPPES | January 24, 2024 |
| Certification date | January 24, 2024 |
| Mailing address | 6718 Lake Nona Blvd Ste 140, Orlando, FL 32827-7984 |
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