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Organization
EYE ASSOCIATES OF PLANTATION INC
Active
Organization
EYE ASSOCIATES OF PLANTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN LEVY MD (OWNER)
(954) 792-6411
Entity
Organization
Contact information
Practice address
499 NW 70 AVENUE, SUITE 100, PLANTATION, FL 33317
(954) 792-6411
(954) 792-4460
Mailing address
499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
(954) 792-6411
(954) 792-4460
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
100542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264482700
—
FL
01
—
34376
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/19/2006
Last updated
11/14/2025
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