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General NPI Number Information
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NPI Number | 1487831830
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Entity Type | Organization
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Legal Business Name | DE ZAYAS EYE ASSOCIATES, PA
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 1282 S US HIGHWAY 1 SUITE 2
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City | ROCKLEDGE
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State | FL
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Zip | 32955-2747
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Country | US
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Telephone | 321-632-0012
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Fax | 321-632-8532
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Provider Business Mailing Address
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Address Line | 1282 S US HIGHWAY 1 SUITE 2
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City | ROCKLEDGE
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State | FL
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Zip | 32955-2747
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Country | US
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Telephone | 321-632-0012
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Fax | 321-632-8532
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS E DE ZAYAS
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Credential | MD
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Telephone | 321-632-0012
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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 | ME51039
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License Number State | FL
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