Florida Eye Clinic P a

NPI #1518932797 in Lake Mary, Florida

Provider Information

NPI Number: 1518932797
Entity Type: Organization
Organization Name: Florida Eye Clinic P a
Subpart: Yes (part of a larger organization)
Parent Organization: FLROIDA EYE CLINIC P A
Primary Specialty: Optometrist
Enumeration Date: Feb 21, 2006
Last Updated: Nov 15, 2007

Practice Location

Address: 100 INTERNATIONAL PKWY
Address 2: #118
City: Lake Mary
State: Florida
ZIP Code: 32746-7302
Phone: (407) 805-0425

Authorized Official

Name: GEN PARM
Title: ADMINISTRATOR
Phone: (407) 834-7776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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