Individual
DR. IGNATIUS C CYRIAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME90747
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
ME90747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0498331
GHI
NY
05
—
2699877-00
—
FL
01
—
47399
BCBS FLORIDA
FL
01
—
5523687
AETNA
FL
05
—
8051003
—
NJ
Enumeration date
09/28/2006
Last updated
05/18/2020
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