Mid Florida Eye Center PA
Ophthalmology in Summerfield, FL. Organization (NPI-2).
NPI number1821177643
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1821177643
- Entity type
- Organization (NPI-2)
- Legal business name
- Mid Florida Eye Center PA
- Organization subpart
- No
- Enumeration date
- Nov 3, 2006
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – |
Practice location
17556 Se 109th Terrace RdSummerfield, FL 34491-6907
Phone 352-735-2020
Mailing address
17560 Us Highway 441Mount Dora, FL 32757-6711
Phone 352-735-2020 · Fax 352-735-3233
Authorized official
George L Neal
President
4692140144
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