# GEORGE A FOURNIER III, M.D., F.A.C.S., P.A.

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

## Provider details

- **NPI number:** 1649218645
- **Authorized official:** DR. GEORGE A FOURNIER III MD (PRESIDENT)
- **Authorized official phone:** (954) 492-1177

## Contact information

- **Practice address:** 2466 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4011
- **Practice address phone:** (954) 492-1177
- **Practice address fax:** (954) 492-0352
- **Mailing address:** 2466 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4011
- **Mailing address phone:** (954) 492-1177
- **Mailing address fax:** (954) 492-0352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1584 | FL | — |
| 207W00000X | Ophthalmology Physician | ME51944 | FL | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 12/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 99343 | BCBS FL | FL |
| 01 | — | DB2199 | RAILROAD MEDICARE | FL |