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General NPI Number Information
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NPI Number | 1467458281
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Entity Type | Organization
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Legal Business Name | EYE CARE AND SURGERY CENTER OF FT. LAUDERDALE, LLC
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 2540 NE 9TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3525
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Country | US
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Telephone | 305-442-2020
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Fax | 305-442-7354
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Provider Business Mailing Address
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Address Line | 1097 S LE JEUNE RD FL 2
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City | CORAL GABLES
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State | FL
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Zip | 33134-2639
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Country | US
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Telephone | 305-442-2020
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Fax | 305-442-7354
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ALBERTO J. ARAN
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Credential | MD
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Telephone | 305-442-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1004
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1004
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License Number State | FL
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