Organization
PLASTIC EYE SURGERY ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RANDALL PATRINELY M.D. (PRESIDENT)
(850) 473-0990
Entity
Organization
Contact information
Practice address
17 E MAIN ST, STE 100, PENSACOLA, FL 32502-5998
(850) 473-0990
(850) 473-0790
Mailing address
17 E MAIN ST, STE 100, PENSACOLA, FL 32502-5998
(850) 473-0990
(850) 473-0790
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME49837
FL
Other
Enumeration date
10/02/2006
Last updated
09/19/2014
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