Organization
FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEN PARM RN (ADMINISTRATOR)
(407) 834-7776
Entity
Organization
Contact information
Practice address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4798
(407) 834-7776
(407) 834-0973
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4798
(407) 834-7776
(407) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
945
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033553300
—
FL
Enumeration date
08/18/2008
Last updated
01/28/2011
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