Organization
EYE SURGEON & CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELAIN JOYCE (CREDENTIALING COORDINATOR)
(954) 894-1500
Entity
Organization
Contact information
Practice address
4651 SHERIDAN ST, SUITE 100, HOLLYWOOD, FL 33021-3457
(954) 894-1500
(954) 894-1526
Mailing address
4651 SHERIDAN ST, SUITE 100, HOLLYWOOD, FL 33021-3457
(954) 894-1500
(954) 894-1526
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
01/26/2011
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