Organization
CENTRAL FLORIDA PREMIER EYE ASSOCIATES
Active
Organization
CENTRAL FLORIDA PREMIER EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA BEDOYA (CREDENTIALING SPECIALIST)
(727) 755-0693
Entity
Organization
Contact information
Practice address
601 E DIXIE AVE, SUITE 201, LEESBURG, FL 34748-5953
(352) 253-5961
Mailing address
311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL 33759-4904
(727) 755-0693
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME59804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054257100
—
FL
Enumeration date
02/04/2016
Last updated
02/04/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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