Organization
BREVARD EYE CENTER INC
Active
Parent organization
BREVARD EYE CENTER INC
Other names
Paul J Befanis, MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREVARD EYE CENTER INC
Authorized official
MR. GARY R HARDEY CEO (CEO)
(321) 984-3200
Entity
Organization
Contact information
Practice address
13848 NARCOOSSEE RD, SUITE A104, ORLANDO, FL 32832-6963
(321) 984-3200
(321) 984-0032
Mailing address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
(321) 984-0032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558456681
GROUP NPI
FL
Enumeration date
10/09/2013
Last updated
06/20/2018
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