Provider Demographics
NPI:1790480846
Name:CENTRAL FLORIDA OPHTHALMOLOGY PLLC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA OPHTHALMOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:689-999-4222
Mailing Address - Street 1:2984 ALAFAYA TRL STE 2020
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7628
Mailing Address - Country:US
Mailing Address - Phone:689-999-4222
Mailing Address - Fax:689-999-4225
Practice Address - Street 1:2984 ALAFAYA TRL STE 2020
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-7628
Practice Address - Country:US
Practice Address - Phone:689-999-4222
Practice Address - Fax:689-999-4225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty