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Organization

BREVARD EYE CENTER INC

Active
Other names
Paul J Befanis, MD PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAFAEL TRESPALACIOS MD (MEDICAL DIRECTOR/ OWNER)
(321) 984-3200
Entity
Organization

Contact information

Practice address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
(321) 984-0032
Mailing address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
(321) 984-0032

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0539980002
DEMERC
05
086944900
FL
01
1346288784
NPI BEFANIS
01
1477503696
NPI TRES
01
1518908607
NPI EHRET
01
1558456681
NPI GROUP
01
1619915105
NPI MINTCHELL
05
252338800
FL
Enumeration date
04/18/2007
Last updated
12/08/2016
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