1770763799 NPI number — EYE PHYSICIANS OF FLORIDA LLP

Table of content: MRS. GABRIELA FERNANDEZ STRICKLAND ED.S. (NPI 1790244267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770763799 NPI number — EYE PHYSICIANS OF FLORIDA LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EYE PHYSICIANS OF FLORIDA LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770763799
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 31796
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33631-3796
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-851-9966
Provider Business Mailing Address Fax Number:
954-318-7360

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
850 S. PINE ISLAND RD
Provider Second Line Business Practice Location Address:
STE. A100
Provider Business Practice Location Address City Name:
PLANTATION
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-741-5555
Provider Business Practice Location Address Fax Number:
954-572-6958
Provider Enumeration Date:
11/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GREENBERG
Authorized Official First Name:
MARVIN
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
CHAIRMAN
Authorized Official Telephone Number:
954-726-2080

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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