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Organization

DR. STEVE T. BUSSA O.D., P.L.L.C.

Active
Parent organization
PREMIER EYE CENTER INC
Other names
Premier Eye Centers of South Florida
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREMIER EYE CENTER INC
Authorized official
DR. STEVE TIMOTHY BUSSA OD (CEO)
(775) 232-0513
Entity
Organization

Contact information

Practice address
7045 W BROWARD BLVD, PLANTATION, FL 33317-2205
(954) 625-2388
Mailing address
1201 N FEDERAL HWY, STE 2A, FORT LAUDERDALE, FL 33338-4099
(775) 232-0513

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107890500
FL
Enumeration date
11/04/2019
Last updated
03/02/2022
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