# FLORIDA RETINA SPECIALISTS, P.A.

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

## Provider details

- **NPI number:** 1710394622
- **Authorized official:** KACIE O'REILLY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (321) 735-8800

## Contact information

- **Practice address:** 2329 MEDICO LN STE 103, MELBOURNE, FL 32940-8449
- **Practice address phone:** (321) 735-8800
- **Practice address fax:** (321) 690-2288
- **Mailing address:** 280 N SYKES CREEK PKWY STE B, MERRITT ISLAND, FL 32953-3491
- **Mailing address phone:** (321) 735-8800
- **Mailing address fax:** (321) 735-8898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 04/30/2025
