1033858360 NPI number — EYE CENTER OF NORTH FLORIDA, P.A.

Table of content: CYNTHIA STRONG STRATTON R.N.,C.D.E. (NPI 1659744258)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033858360 NPI number — EYE CENTER OF NORTH FLORIDA, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EYE CENTER OF NORTH FLORIDA, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033858360
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 MARTIN LUTHER KING JR BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PANAMA CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32405-4412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-784-3937
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1920 HUNTINGTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-4104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-784-3937
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2022

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
CANDICE
Authorized Official Middle Name:
B
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
916-990-7590

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com