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 1100 Plantation Island Dr S Ste 130 , St Augustine FL 32080-5173. 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 (904) 826-0663, or through Stuckey, Rebecca Diane via phone (904) 997-9202.

Contact Information

Primary practice address
1100 Plantation Island Dr S Ste 130 St Augustine FL 32080-5173
Phone: (904) 826-0663
Fax: (904) 826-0664
Website:
Map and Directions
Authorized official contact:
Name: Stuckey, Rebecca Diane
Phone: (904) 997-9202

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1336723717
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 May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336723717 NPPES
Florida MEDICAID 116137104
Florida MEDICAID 064255008

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