Organization
FT MYERS FL OPHTHALMOLOGY ASC LLC
Active
Other names
University Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BILLIE A PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
13051 UNIVERSITY DR, SUITE 102, FORT MYERS, FL 33907-5751
(239) 590-6111
(239) 590-0781
Mailing address
13051 UNIVERSITY DR, SUITE 102, FORT MYERS, FL 33907-5751
(239) 590-6111
(239) 590-0781
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075359900
—
FL
Enumeration date
02/10/2006
Last updated
05/06/2009
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