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NPI Code Detail

MEDICARE: ICU EYE ASSOCIATES

MEDICARE: ICU EYE ASSOCIATES
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
1152W00000XOptometristOPC#3578FL

General Provider Information

NPI Number : 1558783407
Entity Type Code : Organization
Provider Name (Legal Business Name) : ICU EYE ASSOCIATES
Provider Business Mailing Address
First Line : 966 NAUTILUS ISLE
Second Line :
City : DANIA
State : FL
Zip : 33004
Country : US
Telephone Number : 954-604-9738
Fax Number :
Provider Business Practice Location Address
First Line : 966 NAUTILUS ISLE
Second Line :
City : DANIA
State : FL
Zip : 33004-2356
Country : US
Telephone Number : 954-604-9738
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. FRANCES MOLINA DAMBROSIO
Credential : OD
Telephone Number : 954-604-9738
Provider Enumeration Date : 01/13/2014
Last Update Date : 01/13/2014

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Directions to “ICU EYE ASSOCIATES ” Practice Location

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