# FLORIDA EYE CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154537504
- **Authorized official:** DR. MARK A SIBLEY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 895-2020

## Contact information

- **Practice address:** 1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
- **Practice address phone:** (727) 895-2020
- **Practice address fax:** (727) 823-8796
- **Mailing address:** 1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
- **Mailing address phone:** (727) 895-2020
- **Mailing address fax:** (727) 823-8796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 601418 | FL | — |
| 332H00000X | Eyewear Supplier | ME30852 | FL | — |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 10/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 263741300 | — | FL |
| 05 | — | 270596600 | — | FL |
| 05 | — | 272314000 | — | FL |
| 05 | — | 39453000 | — | FL |
| 05 | — | 54314400 | — | FL |
| 05 | — | 56403600 | — | FL |
| 05 | — | 620696400 | — | FL |
| 05 | — | 84235400 | — | FL |