# MID FLORIDA EYE CENTER PA

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

## Provider details

- **NPI number:** 1558440354
- **Authorized official:** GEORGE L NEAL (PRESIDENT)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 12 S PARK AVE, APOPKA, FL 32703-4253
- **Practice address phone:** (407) 886-3188
- **Practice address fax:** (407) 886-8412
- **Mailing address:** 17560 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
- **Mailing address phone:** (352) 735-2020
- **Mailing address fax:** (352) 735-3233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 02/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 376541504 | — | FL |