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Edward Attaway O.D. NPI 1003810367

Classification
Optometrist
Type
License No.
OPC 2010
License State
FL
Certified
Location

Additional Identifiers

Medical School
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduation Year
1981
Identifier
Type
State
Identifier: T77514
Type: MEDICARE UPIN (02)
State: FL
Identifier: 19284Z
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: FL
Identifier: 078605500
Type: MEDICAID (05)
State: FL

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
407 AVENUE K SE, WINTER HAVEN, FL, 338804126
Business Phone
863-294-3504
Mailing Address
407 AVENUE K SE, WINTER HAVEN, FL, 338804126
Mailing Phone
863-294-3504
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