NPI 1023295763

Pelican Plaza Optical

Organisation Durable Medical Equipment & Medical Supplies Sarasota, FL

Practice location

Address: 8390 S Tamiami Trl, Sarasota, FL 34238-2934
Phone: (941) 966-1559
Fax: (941) 966-1559

Authorised official

Name: John Grondahl
Title: Optician/Owner
Phone: (941) 966-1559

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 3259 (FL)

Other Durable Medical Equipment & Medical Supplies providers in Florida →

Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X Licence 3259 (FL)

Other Prosthetic/Orthotic Supplier providers in Florida →

Registry record

NPI: 1023295763
Entity type: Organization
NPI issued: 24 Jan 2008
Record last updated: 24 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.