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General NPI Number Information
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NPI Number | 1154756120
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Entity Type | Organization
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Legal Business Name | MIAMI GARDENS EYE CARE, LLC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 18383 NW 27TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-3169
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Country | US
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Telephone | 305-621-3830
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Fax | 305-621-3831
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Provider Business Mailing Address
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Address Line | 18383 NW 27TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-3169
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Country | US
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Telephone | 305-621-3830
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Fax | 305-621-3831
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY BERMAN
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Credential | O.D.
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Telephone | 305-431-2035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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