EYE SURGERY CENTER OF SAINT AUGUSTINE INC
Surgery Yellow Pages
St Augustine, Florida
Provider NPI: 1750383295
Organization Information:Organization Name: EYE SURGERY CENTER OF SAINT AUGUSTINE INC
Practice Location:
1400 US HIGHWAY 1 S ST AUGUSTINE, FL 32084 US
Tel: 904-829-2344 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1400 US HIGHWAY 1 S ST AUGUSTINE, FL 32084 US
Tel: 904-829-2344 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | FL | F1416 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
14960504 | AHCA ID NUMBER | FL | 01 |
6G6 | BLUE CROSS BLUE SHIE | FL | 01 |
075723300 | FL | 05 | |
1195 | LICENSE NUMBER | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin