Individual
GARY R HOPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3419 JOHNSON ST., HOLLYWOOD, FL 33021
(954) 989-2800
(954) 989-2873
Mailing address
P.O. BOX 39209, FT. LAUDERDALE, FL 33339
(954) 851-9966
(954) 318-7360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
39576
FL
207W00000X
Ophthalmology Physician
Primary
ME0039576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004604
AV MED
FL
05
—
062035100
—
FL
01
—
1026377
AETNA
FL
01
—
1675828
CIGNA
FL
01
—
180031909
RAILROAD MEDICARE
FL
01
—
25043
EMPLOYERS MUTUAL
FL
01
—
94115
BC/BS OF FL
FL
Enumeration date
08/24/2006
Last updated
03/22/2021
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