Healthcare Provider Details

I. General information

NPI: 1700696747
Provider Name (Legal Business Name): FURNARI AND LOFTON GENERAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 01/11/2025
Certification Date: 01/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 N UNIVERSITY DR
TAMARAC FL
33321-2971
US

IV. Provider business mailing address

948 N KROME AVE
HOMESTEAD FL
33030-4409
US

V. Phone/Fax

Practice location:
  • Phone: 954-306-9037
  • Fax:
Mailing address:
  • Phone: 305-247-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RISE RABUN
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 305-247-2331