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Organization
EYE CENTERS OF FLORIDA
Active
Organization
EYE CENTERS OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C BROWN (CEO PRESIDENT)
(239) 939-3456
Entity
Organization
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 790-2432
Mailing address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 790-2432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
ME11076
FL
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040587600
—
FL
Enumeration date
10/06/2006
Last updated
08/05/2019
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