Organization
ST. CLOUD EYE CENTER, INC
Active
Other names
Eye Florida
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SAMUELSON (OFFICE MANAGER)
(407) 891-2010
Entity
Organization
Contact information
Practice address
4589 HENRY C YATES LN, SAINT CLOUD, FL 34769-6764
(407) 891-2010
(407) 891-8211
Mailing address
4589 HENRY C YATES LN, SAINT CLOUD, FL 34769-6764
(407) 891-2010
(407) 891-8211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME94908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003838000
—
FL
Enumeration date
03/31/2015
Last updated
03/31/2015
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