Healthcare Provider Details

I. General information

NPI: 1760810329
Provider Name (Legal Business Name): RETINA CENTER OF PENSACOLA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 N DAVIS HWY
PENSACOLA FL
32504-6950
US

IV. Provider business mailing address

6100 N DAVIS HWY
PENSACOLA FL
32504-6950
US

V. Phone/Fax

Practice location:
  • Phone: 850-607-6841
  • Fax: 850-637-1054
Mailing address:
  • Phone: 850-607-6841
  • Fax: 850-637-1054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME0071132
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AREF RIFAI
Title or Position: OWNER
Credential: M.D.
Phone: 850-607-6841