Healthcare Provider Details

I. General information

NPI: 1932771698
Provider Name (Legal Business Name): ALEXANDER DAVID FURER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W CYPRESS CREEK RD STE 4
FORT LAUDERDALE FL
33309-1715
US

IV. Provider business mailing address

500 N ANDREWS AVE APT 665
FORT LAUDERDALE FL
33301-4166
US

V. Phone/Fax

Practice location:
  • Phone: 954-676-8446
  • Fax:
Mailing address:
  • Phone: 386-503-0681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: