Organization
MULLIS EYE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LUZNY (ADMINISTRATOR)
(850) 763-6666
Entity
Organization
Contact information
Practice address
1600 JENKS AVE, PANAMA CITY, FL 32405-4000
(850) 763-6666
Mailing address
1600 JENKS AVE, PANAMA CITY, FL 32405-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301351100
—
FL
Enumeration date
11/16/2012
Last updated
11/16/2012
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