Organization
CENTRE FOR EYE CARE & SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILVIANO J MATAMOROS MD (PRESIDENT)
(772) 337-5332
Entity
Organization
Contact information
Practice address
1821 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5544
(772) 337-5332
(772) 337-5373
Mailing address
1821 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5544
(772) 337-5332
(772) 337-5373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251387100
—
FL
Enumeration date
08/17/2005
Last updated
01/27/2010
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