Firestone, Lloyd

Firestone, Lloyd is an sole proprietor health care provider with primary practice located at 14958 N Florida Ave , Tampa FL 33613-1626. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Firestone, Lloyd can be contacted via phone (813) 961-6702.

Contact Information

Primary practice address
14958 N Florida Ave Tampa FL 33613-1626
Fax: (813) 968-6994
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 817 Florida

Profile Details

NPI number 1063436368
LBN Legal business name Firestone, Lloyd
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Feb 13th, 2008 - about 16 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 1063436368 NPPES
Florida MEDICAID 084102100

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