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Organization
MULLIS EYE INSTITUTE INC
Active
Organization
MULLIS EYE INSTITUTE INC
Active
Other names
Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN PAYNE M.D. (VICE PRESIDENT)
(850) 763-6666
Entity
Organization
Contact information
Practice address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Mailing address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062935900
—
FL
Enumeration date
08/12/2006
Last updated
11/11/2014
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