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Organization

FLORIDA EYE CLINIC P A

Active
Parent organization
FLORIDA EYE CLINIC PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA EYE CLINIC PA
Authorized official
GEN PARM (ADMINISTRATOR)
(407) 834-7776
Entity
Organization

Contact information

Practice address
229 E RICH AVE, DELAND, FL 32724-4357
(386) 734-3120
(386) 734-3125
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973

Taxonomy

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

Other

Enumeration date
02/17/2006
Last updated
11/15/2007
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