Ambulatory Surgical Center

LBN: Mullis Eye Institute Inc
Ambulatory Surgical Center is an health care organization with primary practice located at 1600 Jenks Ave , Panama City FL 32405-4644. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mullis Eye Institute Inc can be contacted via phone (850) 763-6666, or through Payne, Darren via phone (850) 763-6666.

Contact Information

Primary practice address
1600 Jenks Ave Panama City FL 32405-4644
Phone: (850) 763-6666
Fax: (850) 763-6665
Website:
Map and Directions
Authorized official contact:
Name: Payne, Darren Doctor of Medicine (MD)
Phone: (850) 763-6666

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 948 Florida

Profile Details

NPI number 1578575064
LBN Legal business name Mullis Eye Institute Inc
DBA Doing business as Ambulatory Surgical Center
Authorized official Payne, Darren Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 11th, 2014 - about 10 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 1578575064 NPPES
Florida MEDICAID 062935900

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