# SPECIALTY RETINA CENTER LLC

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

## Provider details

- **NPI number:** 1689807232
- **Authorized official:** SHATINA M CANNON (OFFICE MANAGER)
- **Authorized official phone:** (561) 322-3588

## Contact information

- **Practice address:** 2001 W SAMPLE RD STE 320, DEERFIELD BEACH, FL 33064-1342
- **Practice address phone:** (561) 322-3588
- **Practice address fax:** (754) 812-5993
- **Mailing address:** 2001 W SAMPLE RD STE 320, DEERFIELD BEACH, FL 33064-1342
- **Mailing address phone:** (561) 322-3588
- **Mailing address fax:** (754) 812-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME 81086 | FL | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 02/05/2025