Most Relevant Information
Provider Data
| NPI Number: | 1003810367 |
| Provider Name: | EDWARD ATTAWAY O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OPC 2010 |
Most Important Dates
| Enumeration Date: | 06/02/2005 |
| Last Updated: | 02/09/2010 |
Provider Practice Location
407 AVENUE K SE
WINTER HAVEN
FL
338804126
Practice Location Phone/Fax
| Phone: | 8632943504 |
| Fax: | 8632948305 |
Provider Mailing Location
407 AVENUE K SE
WINTER HAVEN
FL
338804126
Provider Mailing Phone/Fax
| Phone: | 8632943504 |
| Fax: | 8632948305 |