# NORTH FLORIDA EYE CENTER PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871587402
- **Authorized official:** MAHER M FANOUS MD (OWNER)
- **Authorized official phone:** (352) 331-7337

## Contact information

- **Practice address:** 6831 NW 11TH PL, SUITE 1, GAINESVILLE, FL 32605-4259
- **Practice address phone:** (352) 331-7337
- **Practice address fax:** (352) 331-7552
- **Mailing address:** 6831 NW 11TH PL, SUITE 1, GAINESVILLE, FL 32605-4259
- **Mailing address phone:** (352) 331-7337
- **Mailing address fax:** (352) 331-7552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME78921 | FL | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 02/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 49379 | BCBS | FL |