Organization
FLORIDA EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SIBLEY MD (MEDICAL DIRECTOR)
(727) 895-2020
Entity
Organization
Contact information
Practice address
1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
(727) 895-2020
(727) 823-8796
Mailing address
1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
(727) 895-2020
(727) 823-8796
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
601418
FL
332H00000X
Eyewear Supplier
ME30852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263741300
—
FL
05
—
270596600
—
FL
05
—
272314000
—
FL
05
—
39453000
—
FL
05
—
54314400
—
FL
05
—
56403600
—
FL
05
—
620696400
—
FL
05
—
84235400
—
FL
Enumeration date
05/15/2007
Last updated
10/20/2011
Update your record
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