Organization
NORTH FLORIDA EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER M FANOUS MD (OWNER)
(352) 331-7337
Entity
Organization
Contact information
Practice address
6831 NW 11TH PL, SUITE 1, GAINESVILLE, FL 32605-4259
(352) 331-7337
(352) 331-7552
Mailing address
6831 NW 11TH PL, SUITE 1, GAINESVILLE, FL 32605-4259
(352) 331-7337
(352) 331-7552
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME78921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49379
BCBS
FL
Enumeration date
09/09/2005
Last updated
02/18/2008
Update your record
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