ERIC M GRUBER OD, PA
Optometry at 13 St, Saint Cloud, FL

License number
Florida OPC2671
Category
Optometry
Type
Optometrist
Owner
Name: DR. ERIC M GRUBER OD
Title: OPTOMETRIST
Phone: (407) 957-4830
Address
Address
4400 13Th St, Saint Cloud, FL 34769
National Provider ID: 1841628054
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERIC M. GRUBER, O.D., PA

Saint Cloud, FL  -  Altamonte Springs, FL

Status:
Inactive
Inactive reason:
Reinstatement
Registration:
Apr 26, 1996
Inactive since:
Feb 23, 2011
Addresses:
4400 13 St, Saint Cloud, FL 34769 (Physical)
600 E Altamonte Dr, Altamonte Springs, FL 32701
State ID:
P96000037954
Business type:
Florida Profit Corporation
CEO, Chairman:
Eric Mod Gruber (CEO, Chairman), 4400 13 St, Saint Cloud, FL 34769 (Physical)
Agent:
Eric Gruber,4400 13 St, Saint Cloud, FL 34769 (Physical)
EIN:
593378281

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