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Organization

BREVARD EYE CENTER

Active
Parent organization
BREVARD EYE CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
BREVARD EYE CENTER
Authorized official
MR. GARY R HARDEY (CEO)
(321) 984-2346
Entity
Organization

Contact information

Practice address
214 E MARKS ST, ORLANDO, FL 32803-3819
(407) 841-6220
(407) 423-2285
Mailing address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
(321) 984-0032

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME98468
FL

Other

Enumeration date
07/03/2014
Last updated
07/03/2014
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