Organization
GAINESVILLE EYE PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE C BALCH (OFFICER)
(352) 331-7811
Entity
Organization
Contact information
Practice address
6717 NW 11TH PL, SUITE A, GAINESVILLE, FL 32605-4236
(352) 331-7811
(352) 331-3219
Mailing address
6717 NW 11TH PL, SUITE A, GAINESVILLE, FL 32605-4236
(352) 331-7811
(352) 331-3219
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME50649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40221A
GROUP #
FL
Enumeration date
02/09/2007
Last updated
06/10/2019
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