Eye M.d. of Niceville LLC

NPI #1962875823 in Niceville, Florida

Provider Information

NPI Number: 1962875823
Entity Type: Organization
Organization Name: Eye M.d. of Niceville LLC
Primary Specialty: Ophthalmology
Enumeration Date: Nov 1, 2015
Last Updated: Nov 1, 2015

Practice Location

Address: 1480 HICKORY ST
Address 2: SUITE #104
City: Niceville
State: Florida
ZIP Code: 32578-8846
Phone: (850) 933-8318

Authorized Official

Name: DR. NATHANIEL JACOB RUTTIG, M.D.
Title: PRINCIPAL MANAGER
Phone: (850) 933-8318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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