Healthcare Provider Details

I. General information

NPI: 1063217669
Provider Name (Legal Business Name): FURNARI & LOFTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 W FLAGLER ST STE 101
MIAMI FL
33174-1182
US

IV. Provider business mailing address

948 N KROME AVE
HOMESTEAD FL
33030-4409
US

V. Phone/Fax

Practice location:
  • Phone: 305-370-3838
  • Fax:
Mailing address:
  • Phone: 305-247-2331
  • Fax: 305-248-7904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: GERALD D FURNARI
Title or Position: OWNER
Credential: OD
Phone: 305-247-2331