Organization
EYE PHYSICIANS OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLA R FERCHOW (ADMINISTRATOR)
(407) 767-6411
Entity
Organization
Contact information
Practice address
225 W STATE ROAD 434, SUITE 111, LONGWOOD, FL 32750-4980
(407) 767-6411
(407) 767-8160
Mailing address
225 W STATE ROAD 434, SUITE 111, LONGWOOD, FL 32750-4980
(407) 767-6411
(407) 767-8160
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97664
BLUE CROSS
FL
Enumeration date
05/22/2006
Last updated
04/20/2008
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