MEDICARE: FLORIDA EYE & PLASTIC SURGERY ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	49882	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467497529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA EYE & PLASTIC SURGERY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	11195 S JOG RD STE 1&2
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-1829
Country	:	US
Telephone Number	:	561-752-0075
Fax Number	:

Provider Business Practice Location Address
First Line	:	11195 S JOG RD STE 1&2
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-1829
Country	:	US
Telephone Number	:	561-752-0075
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	SIRTAZ SINGH SIBIA
Credential	:	D.O.
Telephone Number	:	561-752-0075

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	04/20/2026

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