Trawick, Anthony B
Trawick, Anthony B is an individual health care provider with primary practice located at 5125 S Lakeland Dr Suite 1, Lakeland FL 33813-2578. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Trawick, Anthony B can be contacted via phone (863) 644-7773.Contact Information
Primary practice address
5125 S Lakeland Dr Suite 1
Lakeland FL 33813-2578
Phone: (863) 644-7773
Fax: (863) 646-2809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1885 | Florida |
Profile Details
| NPI number | 1720078926 |
|---|---|
| LBN Legal business name | Trawick, Anthony B |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 5th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720078926 | NPPES |
| Florida | MEDICAID | 078367600 |
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