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NPI Code Detail

MEDICARE: CENTRAL FLORIDA EYE CENTER, PA

MEDICARE: CENTRAL FLORIDA EYE CENTER, PA
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
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730117391
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL FLORIDA EYE CENTER, PA
Provider Business Mailing Address
First Line : 2303 S BAY ST
Second Line :
City : EUSTIS
State : FL
Zip : 32726-6360
Country : US
Telephone Number : 352-357-1027
Fax Number :
Provider Business Practice Location Address
First Line : 2303 S BAY ST
Second Line :
City : EUSTIS
State : FL
Zip : 32726-6360
Country : US
Telephone Number : 352-357-1027
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : KRISTINE VERKAIK
Credential : O.D.
Telephone Number : 352-357-1027
Provider Enumeration Date : 06/30/2006
Last Update Date : 11/18/2009

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Directions to “CENTRAL FLORIDA EYE CENTER, PA ” Practice Location

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