Individual
PHILIP WALTON LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3399 PGA BLVD, SUITE 350, PALM BEACH GARDENS, FL 33410-2804
(561) 624-0099
(561) 624-7373
Mailing address
3399 PGA BLVD, SUITE 350, PALM BEACH GARDENS, FL 33410-2819
(561) 624-0099
(561) 624-7373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
66203
GA
207W00000X
Ophthalmology Physician
ME 118738
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME118738
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2008
Last updated
12/01/2017
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