Provider Demographics
NPI:1831820380
Name:RETINA PARTNERS OF FLORIDA
Entity type:Organization
Organization Name:RETINA PARTNERS OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:MISCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-412-3785
Mailing Address - Street 1:410 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3504
Mailing Address - Country:US
Mailing Address - Phone:863-345-4350
Mailing Address - Fax:863-296-8880
Practice Address - Street 1:410 1ST ST S
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3504
Practice Address - Country:US
Practice Address - Phone:863-412-3785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty