Organization
MULLIS EYE INSTITUTE INC
Active
Other names
Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN PAYNE M.D. (VICE PRESIDENT)
(850) 763-6666
Entity
Organization
Contact information
Practice address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Mailing address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062935900
—
FL
Enumeration date
08/12/2006
Last updated
11/11/2014
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