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Organization
FLORIDA EYE CLINIC P A
Active
Organization
FLORIDA EYE CLINIC P A
Active
Parent organization
FLORIDA EYE CLINIC P A
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA EYE CLINIC P A
Authorized official
HARRY PAPPAS (ADMINISTRATOR)
(407) 834-7776
Entity
Organization
Contact information
Practice address
10131 W. COLONIAL DR., #201, OCOEE, FL 34761-4210
(407) 206-2020
(407) 206-0127
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 339-0303
(407) 339-0961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208488109
—
FL
Enumeration date
02/17/2006
Last updated
01/03/2017
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