Organization
SPECIALTY RETINA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATINA M CANNON (OFFICE MANAGER)
(561) 322-3588
Entity
Organization
Contact information
Practice address
2001 W SAMPLE RD STE 320, DEERFIELD BEACH, FL 33064-1342
(561) 322-3588
(754) 812-5993
Mailing address
2001 W SAMPLE RD STE 320, DEERFIELD BEACH, FL 33064-1342
(561) 322-3588
(754) 812-5993
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 81086
FL
Other
Enumeration date
08/31/2009
Last updated
02/05/2025
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