Provider Demographics
NPI:1528276441
Name:ORLANDO EYE CONSULTANTS, LLC
Entity type:Organization
Organization Name:ORLANDO EYE CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PARUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-228-4035
Mailing Address - Street 1:1206 NORTH MILLS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2560
Mailing Address - Country:US
Mailing Address - Phone:407-228-4035
Mailing Address - Fax:407-897-3491
Practice Address - Street 1:1206 NORTH MILLS AVENUE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2560
Practice Address - Country:US
Practice Address - Phone:407-228-4035
Practice Address - Fax:407-897-3491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262775200Medicaid
FL262775200Medicaid