Organization
FLORIDA EYE CLINIC P A
Active
Parent organization
FLORIDA EYE CLINIC P A
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA EYE CLINIC P A
Authorized official
HARRY R. PAPPAS M.D. (ADMINISTRATOR)
(407) 834-7776
Entity
Organization
Contact information
Practice address
2917 EDGEWATER DR, ORLANDO, FL 32804-4413
(407) 423-2030
(407) 423-7354
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(408) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208488101
—
FL
Enumeration date
02/17/2006
Last updated
12/05/2016
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