Organization
ATLANTIC EYE INSTITUTE P.A.
Active
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
105 NATURE WALK PKWY UNIT 105, ST AUGUSTINE, FL 32092-4903
(904) 241-7865
(904) 421-7435
Mailing address
3316 3RD ST S STE 103, JACKSONVILLE BEACH, FL 32250-6090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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