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General NPI Number Information
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NPI Number | 1104971423
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Entity Type | Organization
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Legal Business Name | FLORIDA EYE MICROSURGICAL INSTITUTE INC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1717 W WOOLBRIGHT RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6319
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Country | US
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Telephone | 561-737-5500
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Fax | 561-737-7055
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Provider Business Mailing Address
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Address Line | 500 ROSS ST 154-0455 BOX 392985
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City | PITTSBURGH
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State | PA
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Zip | 15262-0001
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Country | US
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Telephone | 561-737-5500
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Fax | 561-737-7055
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Authorized Official
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Title or Position | CHIEF REVENUE CYCLE OFFICER
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Name | CANDICE B DAVIS
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Credential |
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Telephone | 916-990-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 800020175
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License Number State | FL
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