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General NPI Number Information
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NPI Number | 1811849276
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Entity Type | Organization
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Legal Business Name | PALM BEACH GARDENS EYE DOCTOR INC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 7100 FAIRWAY DR STE 39
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4203
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Country | US
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Telephone | 561-799-3932
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Fax |
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Provider Business Mailing Address
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Address Line | 295 QUEENS CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7323
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Country | US
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Telephone | 561-799-3932
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL NODLAND
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Credential | OD
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Telephone | 954-592-3557
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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 |
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License Number State |
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