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Organization
SUNRISE OPHTHALMOLOGY ASC LLC
Active
Organization
SUNRISE OPHTHALMOLOGY ASC LLC
Active
Other names
Foundation for Advanced Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BILLIE A PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3737 N PINE ISLAND RD, SUNRISE, FL 33351-6528
(954) 572-5888
(954) 572-5994
Mailing address
3737 N PINE ISLAND RD, SUNRISE, FL 33351-6528
(954) 572-5888
(954) 572-5994
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075162600
—
FL
Enumeration date
02/09/2006
Last updated
05/06/2009
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