Provider Demographics
NPI:1750478632
Name:EYE SITE OF TAMPA BAY PA
Entity Type:Organization
Organization Name:EYE SITE OF TAMPA BAY PA
Other - Org Name:JERALD B. TURNER, M.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:KNAUF
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:727-799-3772
Mailing Address - Street 1:2031 LITTLE ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1294
Mailing Address - Country:US
Mailing Address - Phone:727-375-0300
Mailing Address - Fax:727-375-1240
Practice Address - Street 1:2031 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1294
Practice Address - Country:US
Practice Address - Phone:727-375-0300
Practice Address - Fax:727-375-1240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40595AOtherPTAN