Organization
EYE PHYSICIANS OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLA FERCHOW (ADMINISTRATOR)
(407) 767-6411
Entity
Organization
Contact information
Practice address
249 MORAY LANE, WINTER PARK, FL 32792
(407) 645-4350
(407) 767-8160
Mailing address
249 MORAY LN, WINTER PARK, FL 32792-4122
(407) 645-4350
(407) 645-0337
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057983100
—
FL
01
—
4038523
AETNA
FL
01
—
97664
BLUE CROSS
FL
Enumeration date
06/08/2006
Last updated
04/22/2008
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