FILUTOWSKI EYE INSTITUTE PA NPI 1760594279

NPI Information

NPI: 1760594279
Provider Name: FILUTOWSKI EYE INSTITUTE PA

Doing Business As: SUNRISE SURGICAL CENTER

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

Specialization: Ambulatory Surgical

Address:
110 YORKTOWNE DR
DAYTONA BEACH, FL
ZIP 32119
Phone: (386) 788-6696
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FILUTOWSKI EYE INSTITUTE PA is an ambulatory surgical clinic center in Daytona Beach, FL. FILUTOWSKI EYE INSTITUTE PA NPI is 1760594279. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Surgical Center.

The provider's business location address is:

110 YORKTOWNE DR
DAYTONA BEACH, FL
ZIP 32119-471
Phone: (386) 788-6696
Fax: (386) 788-2219

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 enumeration date for this NPI number is 8/31/2006 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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	ME0050234	FLORIDA	Yes

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
1	490002111	MEDICARE PIN	FLORIDA
2	0082522	OTHER	FLORIDA	GHI
3	079119900	MEDICAID	FLORIDA
4	63E	OTHER	FLORIDA	BCBS
5	F1184	MEDICARE PIN	FLORIDA
6	10D0866359	OTHER	FLORIDA	CLIA

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

NPI Synchronization or Removal

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