Organization
FLORIDA EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH R. PAYLOR MD (PRESIDENT)
(321) 727-2020
Entity
Organization
Contact information
Practice address
509 E NEW HAVEN AVE, MELBOURNE, FL 32901-5461
(321) 727-2020
(321) 984-9547
Mailing address
502 E NEW HAVEN AVE, MELBOURNE, FL 32901-5427
(321) 727-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0147
MEDICARE
FL
Enumeration date
02/13/2018
Last updated
11/08/2021
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