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Organization

FLORIDA EYE CLINIC P A

Active
Parent organization
FLORIDA EYE CLINIC P A
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA EYE CLINIC P A
Authorized official
HARRY PAPPAS (ADMINISTRATOR)
(407) 834-7776
Entity
Organization

Contact information

Practice address
10131 W. COLONIAL DR., #201, OCOEE, FL 34761-4210
(407) 206-2020
(407) 206-0127
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 339-0303
(407) 339-0961

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208488109
FL
Enumeration date
02/17/2006
Last updated
01/03/2017
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