# FLORIDA EYE CLINIC P A

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLROIDA EYE CLINIC P A
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528032299
- **Legal business name:** FLROIDA EYE CLINIC P A
- **Authorized official:** HARRY PAPPAS MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (407) 834-7776

## Contact information

- **Practice address:** 345 W. MICHIGAN ST., STE. 118, ORLANDO, FL 32806-4465
- **Practice address phone:** (407) 896-0324
- **Practice address fax:** (407) 896-2488
- **Mailing address:** 160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
- **Mailing address phone:** (407) 339-0303
- **Mailing address fax:** (407) 339-0961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 01/28/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 208488103 | — | FL |