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Organization

FILUTOWSKI EYE INSTITUTE PA

Active
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Organization

FILUTOWSKI EYE INSTITUTE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KONRAD W FILUTOWSKI MD (PRESIDENT AND MEDICAL DIRECTOR)
(407) 333-5111
Entity
Organization

Contact information

Practice address
110 YORKTOWNE DRIVE, DAYTONA BEACH, FL 32119
(386) 788-6696
(386) 788-2219
Mailing address
110 YORKTOWNE DR, DAYTONA BEACH, FL 32119-1471
(386) 788-6696
(386) 788-2219

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0082522
GHI
FL
05
058564500
FL
01
21305
BCBSFL
FL
Enumeration date
11/20/2006
Last updated
04/11/2017
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