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Organization
GEORGE A FOURNIER III, M.D., F.A.C.S., P.A.
Active
Organization
GEORGE A FOURNIER III, M.D., F.A.C.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A FOURNIER III MD (PRESIDENT)
(954) 492-1177
Entity
Organization
Contact information
Practice address
2466 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4011
(954) 492-1177
(954) 492-0352
Mailing address
2466 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4011
(954) 492-1177
(954) 492-0352
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC1584
FL
207W00000X
Ophthalmology Physician
Primary
ME51944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99343
BCBS FL
FL
01
—
DB2199
RAILROAD MEDICARE
FL
Enumeration date
06/02/2006
Last updated
12/08/2009
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