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Contact Information

EYE SPECIALISTS OF MID FLORIDA, PA
2800 A RIDGE WAY
SUITE 100
LAKE WALES, FL33859
 Phone: 863-676-2008
 Fax: 863-676-6638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYE SPECIALISTS OF MID FLORIDA, PA

NPI # 1588990758
LBN Legal business name EYE SPECIALISTS OF MID FLORIDA, PA
Authorized official DANIEL WELCH - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/23/2009
Last updated 03/12/2013 - About 13 years ago
Identifiers
FL License # ME32357
Other 0585110002 DMERC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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