| |
2540 Ne 9 St, Ft. Lauderdale, FL 33304-3525 | |
(305) 442-2020 | |
(305) 442-7354 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2540 Ne 9 St, Ft. Lauderdale, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043328743 | NPI | - | NPPES |
001838000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1097 S. Le Jeune Road, Second Floor, Coral Gables, FL 33134-2616 Ph: (305) 442-2020 | 2540 Ne 9 St, Ft. Lauderdale, FL 33304-3525 Ph: (305) 442-2020 |