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General NPI Number Information
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NPI Number | 1457019028
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Entity Type | Organization
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Legal Business Name | SOUTHEAST EYE INSTITUTE, PA
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 7400 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-4371
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Country | US
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Telephone | 813-782-4546
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Fax | 813-702-4054
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Provider Business Mailing Address
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Address Line | 7400 GALL BLVD
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City | PINELLAS PARK
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State | FL
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Zip | 33541-4371
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Country | US
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Telephone | 813-782-4546
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | NATHAN EMERY
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Credential | MD
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Telephone | 727-541-4469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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