Organization
CENTRAL FLORIDA EYE SPECIALISTS PL
Active
Other names
Pennachio Eye
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
1100 S GROVE ST, EUSTIS, FL 32726-5524
(352) 227-1999
(352) 227-1001
Mailing address
500 ROSS ST 154-0455 BOX 360579, PITTSBURGH, PA 15262-0001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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