# GLAUCOMA SPECIALISTS OF SOUTH FLORIDA PA

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

## Provider details

- **NPI number:** 1629388558
- **Authorized official:** DR. TALYA HOROWITZ KUPIN M.D. (PRESIDENT)
- **Authorized official phone:** (561) 479-3884

## Contact information

- **Practice address:** 6298 LINTON BLVD STE 102, DELRAY BEACH, FL 33484-6444
- **Practice address phone:** (561) 479-3884
- **Practice address fax:** (561) 479-3885
- **Mailing address:** 6298 LINTON BLVD, STE 102, DELRAY BEACH, FL 33484-6444
- **Mailing address phone:** (561) 479-3884
- **Mailing address fax:** (561) 479-3885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME79238 | FL | Yes |

## Other

- **Enumeration date:** 10/13/2010
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1548332497 | NPI | FL |
| 01 | — | 1629388558 | GR NPI | FL |
| 01 | — | F57421 | UPIN | FL |