# RETINA MACULA SPECIALISTS OF MIAMI LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RETINA MACULA SPECIALISTS OF MIAMI LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063838233
- **Legal business name:** RETINA MACULA SPECIALISTS OF MIAMI LLC
- **Authorized official:** JAY HARRIS LEVY (MANAGING PARTNER)
- **Authorized official phone:** (305) 653-6500

## Contact information

- **Practice address:** 351 NW 42ND AVE STE 501, MIAMI, FL 33126-5690
- **Practice address phone:** (360) 564-3887
- **Practice address fax:** (305) 643-8872
- **Mailing address:** 184 NE 168TH ST, NORTH MIAMI BEACH, FL 33162-3412
- **Mailing address phone:** (305) 655-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME86697 | FL | Yes |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 02/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 269577406 | — | FL |