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General NPI Number Information
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NPI Number | 1760594279
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Entity Type | Organization
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Legal Business Name | FILUTOWSKI EYE INSTITUTE PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 110 YORKTOWNE DR
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City | DAYTONA BEACH
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State | FL
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Zip | 32119-1471
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Country | US
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Telephone | 386-788-6696
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Fax | 386-788-2219
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Provider Business Mailing Address
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Address Line | 110 YORKTOWNE DR
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City | DAYTONA BEACH
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State | FL
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Zip | 32119-1471
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Country | US
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Telephone | 386-788-6696
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Fax | 386-788-2219
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Authorized Official
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Title or Position | PRESIDENT AND MEDICAL DIRECTOR
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Name | KONRAD W FILUTOWSKI
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Credential | MD
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Telephone | 407-333-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ME0050234
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License Number State | FL
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