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 M.D. (OWNER)
(321) 984-3200
Entity
Organization
Contact information
Practice address
160 MALABAR RD SW, SUITE 105, PALM BAY, FL 32907-2911
(321) 674-0200
(321) 674-3922
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
05
—
086944908
—
FL
05
—
252338805
—
FL
Enumeration date
05/15/2007
Last updated
06/04/2008
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