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NPI Code Detail

MEDICARE: IGLESIAS EYE ASSOCIATES LLC

MEDICARE: IGLESIAS EYE ASSOCIATES LLC
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
1207WX0107XRetina Specialist (Ophthalmology) Physician
2207WX0108XUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
3363AM0700XMedical Physician Assistant
4363L00000XNurse Practitioner
5207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679141238
Entity Type Code : Organization
Provider Name (Legal Business Name) : IGLESIAS EYE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 11641 KEW GARDENS AVE STE 209
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2846
Country : US
Telephone Number : 561-331-3833
Fax Number : 561-331-3893
Provider Business Practice Location Address
First Line : 11641 KEW GARDENS AVE STE 209
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2846
Country : US
Telephone Number : 561-331-3833
Fax Number : 561-331-3893
Authorized Official
Title or Position : PRESIDENT
Name : DR. MELISSA IGLESIAS
Credential : DO
Telephone Number : 561-331-3833
Provider Enumeration Date : 06/10/2021
Last Update Date : 01/05/2022

Similar Medicare Providers

1225112634 — DR. MELISSA IGLESIAS D.O.
Practice Location Address:
11641 KEW GARDENS AVE STE 209
PALM BEACH GARDENS, FL
33410-2846
Practice Phone: 561-331-3833
Practice Fax: 561-331-3893
1336331693 — DR. PAWEL D FOTEK DMD
Practice Location Address:
11641 KEW GARDENS AVE , STE 209
PALM BEACH GARDENS, FL
33410-2846
Practice Phone: 561-693-3236
Practice Fax:
1306581368 — CITY CLINICS LLC
Practice Location Address:
11641 KEW GARDENS AVE STE 205
PALM BEACH GARDENS, FL
33410-2846
Practice Phone: 561-337-4055
Practice Fax: 561-516-6626
1225992845 — CITY CLINICS LLC
Practice Location Address:
11641 KEW GARDENS AVE STE 205
PALM BEACH GARDENS, FL
33410-2846
Practice Phone: 561-221-0139
Practice Fax: 561-929-6903
1437818366 — BISLEIDY GONZALEZ
Practice Location Address:
3801 NW 186TH ST
MIAMI GARDENS, FL
33055-2846
Practice Phone: 305-527-0249
Practice Fax:
1972497717 — COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice Location Address:
2846 SW TOWN CENTER WAY
PALM CITY, FL
34990-8239
Practice Phone: 772-280-1404
Practice Fax: 772-280-1403

Directions to “IGLESIAS EYE ASSOCIATES LLC ” Practice Location

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