Provider Demographics
NPI:1376569574
Name:PAUTLER COHEN FINDLAY AND EICHENBAUM MDS PA
Entity Type:Organization
Organization Name:PAUTLER COHEN FINDLAY AND EICHENBAUM MDS PA
Other - Org Name:RETINA VITREOUS ASSOCIATES OF FL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:PAUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:813-879-5795
Mailing Address - Street 1:2705 W SAINT ISABEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6319
Mailing Address - Country:US
Mailing Address - Phone:813-879-5795
Mailing Address - Fax:813-877-4578
Practice Address - Street 1:2705 W SAINT ISABEL ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6319
Practice Address - Country:US
Practice Address - Phone:813-879-5795
Practice Address - Fax:813-877-4578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME40175207W00000X
207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99920Medicare ID - Type Unspecified