Organization
EYE M.D. OF NICEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL JACOB RUTTIG M.D. (PRINCIPAL MANAGER)
(850) 933-8318
Entity
Organization
Contact information
Practice address
1480 HICKORY ST, SUITE #104, NICEVILLE, FL 32578-8846
(850) 933-8318
Mailing address
1480 HICKORY ST, SUITE #104, NICEVILLE, FL 32578-8846
(850) 933-8318
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME116522
FL
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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