Organization
PAUL J BEFANIS MD PA
Active
Parent organization
PAUL J BEFANIS MD PA DBA BREVARD EYE CENTER
Other names
Brevard Eye Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL J BEFANIS MD PA DBA BREVARD EYE CENTER
Authorized official
DR. PAUL J BEFANIS MD (OWNER)
(321) 984-3200
Entity
Organization
Contact information
Practice address
1091 PORT MALABAR BLVD NE, SUITE 2, PALM BAY, FL 32905-5100
(321) 676-1700
(321) 952-3878
Mailing address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086944904
—
FL
05
—
252338801
—
FL
Enumeration date
05/10/2007
Last updated
06/03/2008
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