Organization
DR RYAN VERXAGIO OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CARLO VERXAGIO O.D. (PRESIDENT)
(305) 439-2015
Entity
Organization
Contact information
Practice address
1315 SILK OAK DR, HOLLYWOOD, FL 33021-1367
(305) 439-2015
(305) 503-9250
Mailing address
1315 SILK OAK DR, HOLLYWOOD, FL 33021-1367
(305) 439-2015
(305) 503-9250
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC3957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621009100
—
FL
Enumeration date
12/17/2009
Last updated
02/26/2023
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