Organization
MULLIS EYE INSTITUTE INC
Active
Parent organization
MULLIS EYE INSTITUTE INC
Other names
Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULLIS EYE INSTITUTE INC
Authorized official
OSCAR MULLIS M.D. (PRESIDENT)
(850) 763-6666
Entity
Organization
Contact information
Practice address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Mailing address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251263700
—
FL
05
—
301351100
—
FL
Enumeration date
08/21/2006
Last updated
03/20/2009
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