Organization
HILLMOOR EYE SURGERY CENTER, INC.
Active
Other names
One Day Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN M GORMAN (BUSINESS MANAGER)
(772) 335-7005
Entity
Organization
Contact information
Practice address
1715 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7520
(772) 335-7005
(772) 335-3394
Mailing address
PO BOX 9077, PORT ST LUCIE, FL 34985-9077
(772) 335-7005
(772) 335-3394
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075525700
—
FL
01
—
699
BLUE CROSS
FL
Enumeration date
07/14/2006
Last updated
11/01/2010
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