NPI Code Details Logo

NPI 1760810329

NPI 1760810329 : RETINA CENTER OF PENSACOLA PA : PENSACOLA, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760810329
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RETINA CENTER OF PENSACOLA PA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/17/2013
-----------------------------------------------------
    Last Update Date     |    07/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6100 N DAVIS HWY 
-----------------------------------------------------
    City                 |    PENSACOLA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32504-6950
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    850-607-6841
-----------------------------------------------------
    Fax                  |    850-637-1054
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6100 N DAVIS HWY 
-----------------------------------------------------
    City                 |    PENSACOLA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32504-6950
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    850-607-6841
-----------------------------------------------------
    Fax                  |    850-637-1054
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. AREF  RIFAI 
-----------------------------------------------------
    Credential           |    M.D.
-----------------------------------------------------
    Telephone            |    850-607-6841
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207WX0107X
-----------------------------------------------------
    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    ME0071132
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.