| NPI | 1063096436 |
|---|---|
| Doing Business As | FLORIDA RETINA INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | REBECCA DIANE STUCKEY Administrative Supervisor 904-997-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2023-09-15 |