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General NPI Number Information
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NPI Number | 1114113685
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA EYE CLINIC P.A.
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 814 GRIFFIN RD
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City | LAKELAND
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State | FL
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Zip | 33805-2440
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Country | US
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Telephone | 863-686-1010
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Fax | 863-688-0096
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Provider Business Mailing Address
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Address Line | 814 GRIFFIN RD
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City | LAKELAND
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State | FL
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Zip | 33805-2440
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Country | US
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Telephone | 863-686-1010
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Fax | 863-688-0096
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAY MULANEY
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Credential | MD
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Telephone | 863-686-1010
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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 | ME0055340
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License Number State | FL
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