Healthcare Provider Details

I. General information

NPI: 1811960479
Provider Name (Legal Business Name): DIGAETANO CATARACT SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 HEALTH BLVD
DAYTONA BEACH FL
32114-1493
US

IV. Provider business mailing address

505 HEALTH BLVD
DAYTONA BEACH FL
32114-1493
US

V. Phone/Fax

Practice location:
  • Phone: 386-255-5050
  • Fax: 386-255-5029
Mailing address:
  • Phone: 386-255-5050
  • Fax: 386-255-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARET DIGAETANO
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 386-255-5050