Luc Kanicky, O.D

NPI 1043275175 · on the registry since 2006 · sole proprietor

Practice

Address: 6911 Pistol Range Rd
Suite 103b
Tampa, FL 33635
Phone: (813) 925-3393
Fax: (813) 925-3394
Organisation at this address: Laurie Folkman Md
Countryway Eyecare
Proven Services, Inc
Bayside Family Eyecare
Optima Home Health Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 152WL0500X
152WL0500X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida