Organization Name: | FLORIDA VISION OPTIQUE, INC. |
NPI Number: | 1265856702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFAEL A DIAZ (OWNER) |
Mailing Address: | 10050 Sw Innovation Way Suite 101 Port Saint Lucie |
State: | FL US |
Postal Code: | 349872117 |
Phone Number: | 7723455050 |
Fax Number: | 7722237159 |
NPI Enumeration Date: | 02/04/2014 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | OPC2170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |