Cady, Michael T

Cady, Michael T is an individual health care provider with primary practice located at 1089 W Granada Blvd Suite 4, Ormond Beach FL 32174-8299. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cady, Michael T can be contacted via phone (386) 676-1300.

Contact Information

Primary practice address
1089 W Granada Blvd Suite 4 Ormond Beach FL 32174-8299
Phone: (386) 676-1300
Fax: (386) 672-5073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC01201 Florida

Profile Details

NPI number 1073503983
LBN Legal business name Cady, Michael T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated May 5th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073503983 NPPES
Florida MEDICAID 084976600

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