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Organization
FLORIDA EYE CLINIC P.A.
Active
Organization
FLORIDA EYE CLINIC P.A.
Active
Parent organization
FLORIDA EYE CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA EYE CLINIC PA
Authorized official
HARRY PAPPAS MD (AUTHORIZED OFFICIAL)
(407) 834-7776
Entity
Organization
Contact information
Practice address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 339-0303
(407) 339-0961
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208488105
—
FL
Enumeration date
02/17/2006
Last updated
12/21/2020
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