Organization
OCULOPLASTIC AND ORBITAL CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RIDGLEY (PRACTICE MANAGER)
(561) 845-6500
Entity
Organization
Contact information
Practice address
4060 PGA BLVD STE 101, PALM BEACH GARDENS, FL 33410
(561) 845-6500
(561) 845-6300
Mailing address
4060 PGA BLVD STE 101, PALM BEACH GARDENS, FL 33410-6570
(561) 845-6500
(561) 845-6300
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
05/23/2018
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