Provider Demographics
NPI:1427717511
Name:DRY EYE CENTER OF FLORIDA
Entity type:Organization
Organization Name:DRY EYE CENTER OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAMSOWER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:321-960-9486
Mailing Address - Street 1:116 OCEAN TER
Mailing Address - Street 2:
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-3417
Mailing Address - Country:US
Mailing Address - Phone:321-960-9486
Mailing Address - Fax:
Practice Address - Street 1:930 S HARBOR CITY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1964
Practice Address - Country:US
Practice Address - Phone:321-503-2823
Practice Address - Fax:833-365-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty