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General NPI Number Information
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NPI Number | 1275325060
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Entity Type | Organization
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Legal Business Name | LAKEWOOD RANCH RETINA
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 10910 NW 8TH CT
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City | PLANTATION
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State | FL
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Zip | 33324-7352
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Country | US
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Telephone | 941-312-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 10910 NW 8TH CT
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City | PLANTATION
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State | FL
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Zip | 33324-7352
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Country | US
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Telephone | 941-312-1091
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LANDON ROHOWETZ
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Credential | MD
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Telephone | 941-312-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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