Organization
ADVANCED EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL J FANNING (OFFICE MANAGER)
(772) 299-1404
Entity
Organization
Contact information
Practice address
3500 US HIGHWAY 1, VERO BEACH, FL 32960-4511
(772) 299-1404
(772) 299-1455
Mailing address
3500 US HIGHWAY 1, VERO BEACH, FL 32960-4511
(772) 299-1404
(772) 299-1455
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1198
FL
Other
Enumeration date
06/11/2006
Last updated
06/09/2014
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