# FLORIDA EYE SPECIALISTS PA

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

## Provider details

- **NPI number:** 1982845285
- **Authorized official:** RAJESH SHETTY M. D. (OWNER)
- **Authorized official phone:** (904) 382-1477

## Contact information

- **Practice address:** 11512 LAKE MEAD AVE, SUITE 534, JACKSONVILLE, FL 32256-9680
- **Practice address phone:** (904) 382-1477
- **Mailing address:** 1301 1ST ST S, SUITE 707, JACKSONVILLE, FL 32250-6443
- **Mailing address phone:** (904) 382-1477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME84552 | FL | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 06/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 28020 | BCBSFL | FL |
| 01 | — | 28020Z | MEDICARE | FL |