Organization
FORT LAUDERDALE EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SKOLNICK M.D. (OWNER)
(954) 741-5555
Entity
Organization
Contact information
Practice address
850 S PINE ISLAND RD, SUITE A100, PLANTATION, FL 33324-3118
(954) 741-5555
(954) 572-9658
Mailing address
PO BOX 39209, FT LAUDERDALE, FL 33339-9209
(954) 741-5555
(954) 572-9658
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
FL
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250805200
—
FL
01
—
40276
BLUE CROSS BLUE SHEILD
—
Enumeration date
08/18/2006
Last updated
01/29/2015
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