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NPI 1578538161

NPI 1578538161 : FLORIDA EYE CLINIC P A : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1578538161
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLORIDA EYE CLINIC P A 
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Dates
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    Enumeration Date     |    02/17/2006
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    4442 CURRY FORD RD 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32812-2741
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    Country              |    US
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    Telephone            |    407-281-0866
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    Fax                  |    407-281-9288
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Provider Business Mailing Address
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    Address Line         |    160 BOSTON AVE 
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    City                 |    ALTAMONTE SPRINGS
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    State                |    FL
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    Zip                  |    32701-4706
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    Country              |    US
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    Telephone            |    407-834-7776
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    Fax                  |    407-834-0973
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     HARRY R. PAPPAS 
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    Credential           |    M.D.
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    Telephone            |    407-834-7776
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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        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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