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Contact Information

FLORIDA PEDIATRIC EYE SPECIALISTS, INC
3115 W SWANN AVE
TAMPA, FL33609-4617
 Phone: 813-879-7711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for FLORIDA PEDIATRIC EYE SPECIALISTS, INC

NPI Number 1770837874
LBN Legal business name FLORIDA PEDIATRIC EYE SPECIALISTS, INC
Authorized official GREGORY HENDERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2012
Last updated 08/10/2021 - About 5 years ago
Identifiers
FL Medicaid 0537934-00
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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