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FILUTOWSKI EYE INSTITUTE PA NPI 1588735708


NPI Information

NPI: 1588735708
Provider Name: FILUTOWSKI EYE INSTITUTE PA

Doing Business As: LAKE MARY SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D0928401

Address:
1070 GREENWOOD BLVD
LAKE MARY, FL
ZIP 32746
Phone: (407) 333-5111
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FILUTOWSKI EYE INSTITUTE PA is an ambulatory surgical clinic center in Lake Mary, FL. FILUTOWSKI EYE INSTITUTE PA NPI is 1588735708. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Mary Surgical Center.

The provider's business location address is:

1070 GREENWOOD BLVD
LAKE MARY, FL
ZIP 32746-404
Phone: (407) 333-5111
Fax: (407) 333-2434

The provider's authorized official is Konrad W Filutowski .
The authorized official title is President And Medical Director and has the following contact phone number (407) 333-5111.

The CLIA number assigned to this NPI record is 10D0928401 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 4/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical1054FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1490003598MEDICARE PINFLORIDA
20768600 00MEDICAIDFLORIDA
3F1285MEDICARE PINFLORIDA
40082522OTHERFLORIDAGHI
510D0928401OTHERFLORIDACLIA
668EOTHERFLORIDABCBSFL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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