Organization
LVI OF CHARLOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN COOK (PRESIDENT)
(800) 584-4150
Entity
Organization
Contact information
Practice address
2000 PALM BEACH LAKES BLVD, SUITE 800, WEST PALM BEACH, FL 33409-6503
(561) 965-9110
(706) 243-4627
Mailing address
2525 MERIDIAN PKWY, SUITE 125, DURHAM, NC 27713-5243
(919) 316-1977
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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