Organization
CENTRAL FLORIDA PREMIER EYE ASSOCIATES
Active
Other names
Lake Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WEHRLY MD (PRESIDENT)
(352) 343-4798
Entity
Organization
Contact information
Practice address
1852 MAYO DR, TAVARES, FL 32778-4320
(352) 343-2020
(352) 343-4728
Mailing address
1852 MAYO DR, TAVARES, FL 32778-4320
(352) 343-2020
(352) 343-4728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278334700
—
FL
01
—
98103
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/06/2006
Last updated
12/03/2020
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