Organization
FLORIDA EYE CONSULTANTS INC
Active
Other names
The Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MITCHELL (CREDENTIALING COORDINATOR)
(321) 722-4443
Entity
Organization
Contact information
Practice address
1995 W NASA BLVD, SUITE 200, MELBOURNE, FL 32904-2300
(321) 722-4443
(321) 722-2334
Mailing address
1995 W NASA BLVD, SUITE 200, MELBOURNE, FL 32904-2300
(321) 722-4443
(321) 722-2334
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21125
BC/BS FL
FL
05
—
255267100
—
FL
Enumeration date
07/28/2006
Last updated
09/06/2023
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