Organization
MID FLORIDA EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L NEAL (PRESIDENT)
(469) 214-0144
Entity
Organization
Contact information
Practice address
600 N 14TH ST, LEESBURG, FL 34748-4204
(352) 787-5900
Mailing address
17560 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
(352) 735-2020
(352) 735-3233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376541501
—
FL
Enumeration date
11/03/2006
Last updated
02/05/2020
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