Paul Kenneth Rentiers
Ophthalmologist
619 S Marion Ave
Lake City
, Florida 32025-5808
Paul Kenneth Rentiers
Ophthalmologist
619 S Marion Ave
Lake City
, Florida 32025-5808
(386) 754-6423
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Paul Kenneth Rentiers
- 619 S Marion Ave
- Lake City, FL
- Zip : 32025-5808
- Fax : (386) 754-6423
- Phone : (386) 755-3016
Second Address
- Paul Kenneth Rentiers
- 619 S Marion Ave
- Lake City, FL
- Zip : 32025-5808
- Fax : (386) 754-6423
- Phone : (386) 755-3016
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | E9944 | TX |
National Provider Identifier
| NPI | 1013924737 |
|---|---|
| Provider Name | Paul Kenneth Rentiers |
| First Address | Lake City, FL 32025-5808 |
| Second Address | Lake City, FL 32025-5808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 08/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 084632101 | (05) | TX |
| B25884 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.