Organization
OPHTHALMOLOGY ASSOCIATES OF SOUTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY E GLICK DO (PRESIDENT)
(954) 575-4711
Entity
Organization
Contact information
Practice address
3100 CORAL HILLS DR, 206, CORAL SPRINGS, FL 33065-4137
(954) 575-4711
(954) 575-4722
Mailing address
3100 CORAL HILLS DR, 206, CORAL SPRINGS, FL 33065-4137
(954) 575-4711
(954) 575-4722
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS8684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2896366
AETNA HMO
FL
01
—
7890361
AETNA
FL
Enumeration date
05/11/2006
Last updated
05/05/2008
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