Organization
RETINA CENTER PA
Active
Other names
The Retina Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NEIL MAMES MD (DIRECTOR PRESIDENT)
(352) 333-5050
Entity
Organization
Contact information
Practice address
6400 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32605-6605
(352) 333-5050
(352) 248-2228
Mailing address
6400 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32605-6605
(352) 333-5050
(352) 248-2228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74579
BCBS
FL
Enumeration date
12/01/2005
Last updated
08/22/2020
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