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General NPI Number Information
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NPI Number | 1093678161
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Entity Type | Organization
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Legal Business Name | RETINA MACULA SPECIALISTS OF MIAMI LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6333 N FEDERAL HWY STE 401
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1909
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Country | US
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Telephone | 954-452-9922
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Fax |
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Provider Business Mailing Address
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Address Line | 184 NE 168TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3412
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Country | US
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Telephone | 305-655-0411
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. JAY HARRIS LEVY
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Credential | MD
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Telephone | 305-653-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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