Organization
FLORIDA EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH PAYLOR MD (PRESIDENT)
(321) 727-2020
Entity
Organization
Contact information
Practice address
502 E NEW HAVEN AVE, MELBOURNE, FL 32901-5427
(321) 727-2020
(321) 984-9547
Mailing address
502 E NEW HAVEN AVE, MELBOURNE, FL 32901-5427
(321) 727-2020
(321) 984-9547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017680
AETNA HMO
FL
05
—
254764300
—
FL
01
—
4512458
AETNA PPO
FL
05
—
620366300
—
FL
01
—
72352
BLUE CROSS / BLUE SHIELD
FL
01
—
CN5529
RAILROAD MEDICARE
FL
Enumeration date
05/11/2006
Last updated
11/08/2021
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