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Organization
GLAUCOMA SPECIALISTS OF SOUTH FLORIDA PA
Active
Organization
GLAUCOMA SPECIALISTS OF SOUTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALYA HOROWITZ KUPIN M.D. (PRESIDENT)
(561) 479-3884
Entity
Organization
Contact information
Practice address
6298 LINTON BLVD STE 102, DELRAY BEACH, FL 33484-6444
(561) 479-3884
(561) 479-3885
Mailing address
6298 LINTON BLVD, STE 102, DELRAY BEACH, FL 33484-6444
(561) 479-3884
(561) 479-3885
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME79238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548332497
NPI
FL
01
—
1629388558
GR NPI
FL
01
—
F57421
UPIN
FL
Enumeration date
10/13/2010
Last updated
07/21/2022
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