Organization
MONTGOMERY EYE CENTER, LLC
Active
Parent organization
MONTGOMERY EYE CENTER, LLC
Other names
Montgomery Eye Center Ambulatory Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY EYE CENTER, LLC
Authorized official
ANGIE LIBERTINI (CREDENTIALING COORDINATOR)
(941) 480-2135
Entity
Organization
Contact information
Practice address
700 NEAPOLITAN WAY, NAPLES, FL 34103-8570
(239) 261-8383
(239) 261-8443
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 480-2020
(941) 484-2200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999
AHCA STATE LICENSE NUMBER
FL
Enumeration date
11/27/2006
Last updated
12/18/2020
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