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Organization

BREVARD EYE CENTER

Active
Parent organization
BREVARD EYE CENTER
Other names
Paul J Befanis MD PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
BREVARD EYE CENTER
Authorized official
MR. GARY R HARDEY (CEO)
(321) 984-3200
Entity
Organization

Contact information

Practice address
250 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-3495
(321) 453-5700
(321) 453-5370
Mailing address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
(321) 984-0032

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0539980003
DEMERC NC
05
086944906
FL
01
1003075730
NPI DELATORRE
01
1477503696
NPI TRES
01
1518908607
NPI EHRET
01
1558456689
NPI GROUP
01
1750322871
NPI HENDRIX
05
252338802
FL
Enumeration date
04/13/2007
Last updated
06/30/2014
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