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Organization
PINNACLE EYE CENTER INC
Active
Organization
PINNACLE EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINE M PAPPAS MD (MEDICAL DIRECTOR / OWNER)
(321) 255-4949
Entity
Organization
Contact information
Practice address
1649 W EAU GALLIE BLVD, STE 100, MELBOURNE, FL 32935-4160
(321) 255-4949
(321) 255-0887
Mailing address
1649 W EAU GALLIE BLVD, STE 100, MELBOURNE, FL 32935-4160
(321) 255-4949
(321) 255-0887
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004604900
—
FL
Enumeration date
09/07/2005
Last updated
07/20/2012
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