Southern Vitreoretinal Associates, Pl

LBN: Southern Vitreoretinal Associates, Pl
Southern Vitreoretinal Associates, Pl is an health care organization with primary practice located at 2439 Care Dr , Tallahassee FL 32308-4580. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Southern Vitreoretinal Associates, Pl can be contacted via phone (850) 942-6700, or through Brooks, Harold Logan via phone (850) 942-6700.

Contact Information

Primary practice address
2439 Care Dr Tallahassee FL 32308-4580
Fax: (850) 942-5735
Website:
Authorized official contact:
Name: Brooks, Harold Logan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1871665448
LBN Legal business name Southern Vitreoretinal Associates, Pl
DBA Doing business as
Authorized official Brooks, Harold Logan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 28th, 2026 - about 10 months 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 1871665448 NPPES
Florida MEDICAID 126268200

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