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Organization

MULLIS EYE INSTITUTE INC

Active
Parent organization
MULLIS EYE INSTITUTE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MULLIS EYE INSTITUTE INC
Authorized official
O LEE MULLIS MD (PRESIDENT)
(850) 763-6666
Entity
Organization

Contact information

Practice address
1003 COLLEGE BLVD W STE 4, TWIN CITIES MEDICAL BLDG, NICEVILLE, FL 32578-1060
(850) 678-5338
(850) 763-6665
Mailing address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ME0027750
FL

Other

Enumeration date
03/15/2007
Last updated
03/13/2008
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