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Organization
EYE CENTER OF NORTH FLORIDA, P.A.
Active
Organization
EYE CENTER OF NORTH FLORIDA, P.A.
Active
Parent organization
EYE CENTER OF NORTH FLORIDA
Other names
The Laser & Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CENTER OF NORTH FLORIDA
Authorized official
DR. BRET L FISHER M.D. (MEDICAL DIRECTOR)
(850) 784-3937
Entity
Organization
Contact information
Practice address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
Mailing address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070413000
—
FL
01
—
1300260001
PALMETTO (DMERC)
FL
01
—
490004630
RR MEDICARE
FL
01
—
68L
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/19/2006
Last updated
04/20/2023
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