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Fadea Inc
Optician in Lakeland, Florida
NPI 1215052477

Fadea Inc is a Optician based in Lakeland, FL and is specialized in Optician. Fadea Inc practices in Lakeland, FL. The NPI Number for Fadea Inc is 1215052477 and holds a License No. DO4437 (Florida).

The current practice location address for Fadea Inc is 1371 Town Center Dr, Lakeland, FL and can be reached out via phone at 863-413-0200 and via fax at 863-413-0227.

Location: 1371 Town Center Dr, Lakeland, FL, 33803-7964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215052477
Provider Name
Fadea Inc
Credential
Provider Entity Type
Organization
Address
1371 Town Center Dr, Lakeland, FL, 33803-7964
Phone Number
863-413-0200
Fax Number
863-413-0227
Provider Enumeration Date
03/20/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39-80132227906 01 FL SALES TAX ID #
223338 01 FL EYEMED VISION CARE
institution
Provider Business Practice Location Address Details
Address
1371 Town Center Dr
City
Lakeland
State
Florida
Zip
33803-7964
Phone Number
863-413-0200
Fax Number
863-413-0227
person
Provider Business Mailing Address Details
Address
1371 Town Center Dr
City
Lakeland
State
Florida
Zip
33803-7964
Phone Number
863-413-0200
Fax Number
863-413-0227
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO4437 (Florida)
Definition
Definition to come...
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