# EYES AT CENTERVILLE PARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmer Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124125406
- **Authorized official:** DR. RICHARD MARK PALMER MD (CEO)
- **Authorized official phone:** (850) 877-7337

## Contact information

- **Practice address:** 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4624
- **Practice address phone:** (850) 877-7337
- **Practice address fax:** (850) 877-8675
- **Mailing address:** 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4624
- **Mailing address phone:** (850) 877-7337
- **Mailing address fax:** (850) 877-8675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME68965 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/07/2010