Eye Surgery Center Of Saint Augustine Inc

LBN: Eye Surgery Center Of Saint Augustine Inc
Eye Surgery Center Of Saint Augustine Inc is an health care organization with primary practice located at 1400 Us Highway 1 S , St Augustine FL 32084-4211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Eye Surgery Center Of Saint Augustine Inc can be contacted via phone (904) 829-2344, or through Hund, Paul W via phone (904) 829-2344.

Contact Information

Primary practice address
1400 Us Highway 1 S St Augustine FL 32084-4211
Phone: (904) 829-2344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hund, Paul W Doctor of Medicine (MD)
Phone: (904) 829-2344

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X F1416 Florida

Profile Details

NPI number 1750383295
LBN Legal business name Eye Surgery Center Of Saint Augustine Inc
DBA Doing business as
Authorized official Hund, Paul W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 17th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750383295 NPPES
Florida Other LICENSE NUMBER 1195
Florida MEDICAID 075723300 1195
Florida Other AHCA ID NUMBER 1195
Florida Other BLUE CROSS BLUE SHIE 1195

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