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General NPI Number Information
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NPI Number | 1942265368
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES OF PLANTATION INC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 499 NW 70 AVENUE SUITE 100
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City | PLANTATION
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State | FL
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Zip | 33317
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Country | US
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Telephone | 954-792-6411
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Fax | 954-792-4460
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Provider Business Mailing Address
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Address Line | 499 NW 70TH AVE STE 100
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City | PLANTATION
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State | FL
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Zip | 33317-7572
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Country | US
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Telephone | 954-792-6411
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Fax | 954-792-4460
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELYN LEVY
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Credential | MD
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Telephone | 954-792-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 100542
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License Number State | FL
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