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NPI Code Detail

MEDICARE: EYE SURGERY CENTER OF NORTH FLORIDA LLC

MEDICARE: EYE SURGERY CENTER OF NORTH FLORIDA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00445115OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
266IOTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275740839
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE SURGERY CENTER OF NORTH FLORIDA LLC
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-8575
Country : US
Telephone Number : 864-359-1308
Fax Number : 239-496-3939
Provider Business Practice Location Address
First Line : 7205 BENTLEY RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-7565
Country : US
Telephone Number : 904-296-0098
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. KEVIN BECKER
Credential :
Telephone Number : 702-432-2594
Provider Enumeration Date : 05/16/2007
Last Update Date : 04/10/2026

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Directions to “EYE SURGERY CENTER OF NORTH FLORIDA LLC ” Practice Location

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