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Organization
FLORIDA EYE CLINIC P.A.
Active
Organization
FLORIDA EYE CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEN PARM R.N. (ADMINISTRATOR)
(407) 834-7776
Entity
Organization
Contact information
Practice address
330 CANAL ST, NEW SMYRNA BEACH, FL 32168-7008
(407) 834-7776
(407) 834-0973
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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