# NORTH RIDGE EYE CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Ridge Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700941002
- **Authorized official:** DR. ILEY C NEELY MD (PRESIDENT)
- **Authorized official phone:** (954) 771-4271

## Contact information

- **Practice address:** 5601 N DIXIE HWY, SUITE 115, FT LAUDERDALE, FL 33334-4148
- **Practice address phone:** (954) 771-4271
- **Practice address fax:** (954) 776-5959
- **Mailing address:** 5601 N DIXIE HWY, SUITE 115, FT LAUDERDALE, FL 33334-4148
- **Mailing address phone:** (954) 771-4271
- **Mailing address fax:** (954) 776-5959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME57956 | FL | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 09/30/2009