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FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER INC. NPI 1073764106


NPI Information

NPI: 1073764106
Provider Name: FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
975 TOWN CENTER DR
SUITE 100
ORANGE CITY, FL
ZIP 32763
Phone: (407) 834-7776
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FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER, INC. is an ambulatory surgical clinic center in Orange City, FL. FLORIDA EYE CLINIC AMBULATORY SURGICAL CENTER, INC. NPI is 1073764106. The provider is registered as an organization entity type.

The provider's business location address is:

975 TOWN CENTER DR
SUITE 100
ORANGE CITY, FL
ZIP 32763-269
Phone: (407) 834-7776
Fax: (407) 834-0973

The provider's authorized official is Gen Parm .
The authorized official title is Administrator and has the following contact phone number (407) 834-7776.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical945FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F1011MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.