Organization Name: | FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER INC |
NPI Number: | 1043466311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEN PARM (ADMINISTRATOR) |
Mailing Address: | 160 Boston Ave Altamonte Springs |
State: | FL US |
Postal Code: | 327014798 |
Phone Number: | 4078347776 |
Fax Number: | 4078340973 |
NPI Enumeration Date: | 08/18/2008 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 945 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |