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Organization
FLORIDA EYE CLINIC P A
Active
Organization
FLORIDA EYE CLINIC P A
Active
Parent organization
FLORIDA EYE CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA EYE CLINIC PA
Authorized official
GEN PARM (ADMINISTRATOR)
(407) 834-7776
Entity
Organization
Contact information
Practice address
229 E RICH AVE, DELAND, FL 32724-4357
(386) 734-3120
(386) 734-3125
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973
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
Enumeration date
02/17/2006
Last updated
11/15/2007
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