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General NPI Number Information
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NPI Number | 1154689149
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Entity Type | Organization
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Legal Business Name | MIDTOWN MIAMI EYE CENTER INC
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 09/03/2018
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Provider Practice Location Address
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Address Line | 3176 S UNIVERSITY DR
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City | MIRAMAR
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State | FL
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Zip | 33025
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Country | US
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Telephone | 954-431-2020
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Fax | 954-435-7124
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Provider Business Mailing Address
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Address Line | 3176 S UNIVERSITY DR
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City | MIRAMAR
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State | FL
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Zip | 33025-3002
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Country | US
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Telephone | 954-431-2020
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Fax | 954-435-7124
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALAHUDDIN MASTERS
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Credential | O.D.
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Telephone | 954-326-0423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4347
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License Number State | FL
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