<Unavail>
LBN: Florida Pediatric Eye Specialists, Inc
<Unavail> is an health care organization with primary practice located at 3115 W Swann Ave , Tampa FL 33609-4617. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Florida Pediatric Eye Specialists, Inc can be contacted via phone (813) 879-7711, or through Henderson, Gregory L via phone (813) 681-1122.
Contact Information
Primary practice address
3115 W Swann Ave
Tampa FL 33609-4617
Phone: (813) 879-7711
Fax:
Website:
Authorized official contact:
Name: Henderson, Gregory L Doctor of Medicine (MD)
Phone: (813) 681-1122
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1770837874 |
|---|---|
| LBN Legal business name | Florida Pediatric Eye Specialists, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Henderson, Gregory L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2012 |
| Last updated | Aug 10th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770837874 | NPPES |
| Florida | MEDICAID | 0537934-00 |
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