Florida Retina Institute
LBN: Florida Retina Institute James A Staman Md Llc
Florida Retina Institute is an health care organization with primary practice located at 4880 N Highway 19A Ste 100 , Mount Dora FL 32757-2018. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Florida Retina Institute James A Staman Md Llc can be contacted via phone (352) 357-1203, or through Stuckey, Rebecca Diane via phone (904) 997-9202.
Contact Information
Primary practice address
4880 N Highway 19A Ste 100
Mount Dora FL 32757-2018
Phone: (352) 357-1203
Fax: (352) 357-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1174190086 |
|---|---|
| LBN Legal business name | Florida Retina Institute James A Staman Md Llc |
| DBA Doing business as | Florida Retina Institute |
| Authorized official | Stuckey, Rebecca Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2021 |
| Last updated | Sep 15th, 2023 - about 2 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 | 1174190086 | NPPES |
| Florida | MEDICAID | 116137109 | |
| Florida | MEDICAID | 064255017 |
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