Organization
SCO EYE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PEFKAROS (MEDICAL DIRECTOR)
(321) 267-0008
Entity
Organization
Contact information
Practice address
1832 GARDEN ST, TITUSVILLE, FL 32796-3200
(321) 267-0008
Mailing address
1832 GARDEN ST, TITUSVILLE, FL 32796-3200
(321) 267-0008
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
07/03/2024
Last updated
08/14/2024
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