Organization
NORTH FLORIDA REGIONAL EYECARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. STEPHENS O.D. (PRESIDENT)
(850) 893-4005
Entity
Organization
Contact information
Practice address
1905 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4421
(850) 222-3937
(850) 893-9987
Mailing address
1400 VILLAGE SQUARE BLVD, SUITE 3-165, TALLAHASSEE, FL 32312-1250
(850) 222-3937
(850) 877-0206
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24269
BCBS GROUP NUMBER
FL
05
—
620174100
—
FL
Enumeration date
12/12/2006
Last updated
01/09/2017
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