Brevard Eye Center Inc

NPI 1093142986 - Optometrist - 152W00000X

NPI Details
NPI 1093142986
Enumeration Date 10/09/2013
Last Updated 08/19/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GARY R GARY
Position CEO
Phone (321) 984-3200
Fax (321) 984-0032
Practice Location
13848 NARCOOSSEE RD
SUITE A104
ORLANDO FL, 32832-6963, US
Phone (321) 984-3200
Fax (321) 984-0032
Business Location
665 S APOLLO BLVD
MELBOURNE FL, 32901-1485, US
Phone (321) 984-3200
Fax (321) 984-0032
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Brevard Eye Center Inc NPI is 1093142986, taxonomy code is 152W00000X Brevard Eye Center Inc physically located at 13848 Narcoossee Rd, Orlando FL, 32832-6963. NPI Number 1033115704 has the healthcare provider type.

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1093142986 NPI number is provided on an as is basis without warranty of any kind. 1093142986 is maintained by the National Plan & Provider Enumeration System. The contents of Brevard Eye Center Inc are for informational purposes only.