# OPHTHALMOLOGY ASSOCIATES OF SOUTH FLORIDA PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215987292
- **Authorized official:** DR. HENRY E GLICK DO (PRESIDENT)
- **Authorized official phone:** (954) 575-4711

## Contact information

- **Practice address:** 3100 CORAL HILLS DR, 206, CORAL SPRINGS, FL 33065-4137
- **Practice address phone:** (954) 575-4711
- **Practice address fax:** (954) 575-4722
- **Mailing address:** 3100 CORAL HILLS DR, 206, CORAL SPRINGS, FL 33065-4137
- **Mailing address phone:** (954) 575-4711
- **Mailing address fax:** (954) 575-4722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | OS8684 | FL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 05/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2896366 | AETNA HMO | FL |
| 01 | — | 7890361 | AETNA | FL |