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Organization
EYE M.D. OF NICEVILLE LLC
Active
Organization
EYE M.D. OF NICEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL JACOB RUTTIG M.D. (PRINCIPAL MANAGER)
(850) 933-8318
Entity
Organization
Contact information
Practice address
1480 HICKORY ST, SUITE #104, NICEVILLE, FL 32578-8846
(850) 933-8318
Mailing address
1480 HICKORY ST, SUITE #104, NICEVILLE, FL 32578-8846
(850) 933-8318
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME116522
FL
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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