Organization Name: | FRANK TANAKA OCULARIST INC |
NPI Number: | 1104026061 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | K. FRANK TANAKA (OCULARIST) |
Mailing Address: | 1385 W State Road 434 Suite 207 Longwood |
State: | FL US |
Postal Code: | 327506214 |
Phone Number: | 4078341990 |
Fax Number: | 8139750921 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |