Organization
RADZWILL OPTOMETRIC ASSOCIATES CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC RADZWILL O.D. (PRESIDENT)
(954) 563-3450
Entity
Organization
Contact information
Practice address
2312 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-2500
(954) 563-3450
(954) 563-8911
Mailing address
2312 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-2500
(954) 563-3450
(954) 563-8911
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0003042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0735
MEDICARE GROUP
FL
Enumeration date
12/07/2007
Last updated
12/18/2007
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