Organization
MEDICAL CITY EYE CENTER PA
Active
Parent organization
BREVARD EYE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREVARD EYE CENTER INC
Authorized official
MR. GARY R HARDEY (CEO)
(321) 984-3200
Entity
Organization
Contact information
Practice address
214 E MARKS ST, ORLANDO, FL 32803-3819
(407) 841-6220
(407) 423-2285
Mailing address
214 E MARKS ST, ORLANDO, FL 32803-3819
(407) 841-6220
(407) 423-2285
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC1134
FL
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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