10D2054963 CLIA NUMBER - FLORIDA EYE AND PLASTIC SURGERY ASSOCIATES INC

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Laboratory Demographics

CLIA Number: 10D2054963

Facility Name: FLORIDA EYE AND PLASTIC SURGERY ASSOCIATES INC

Facility Address:
11195 S JOG RD STE 1, 2
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 752-0075

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467497529

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	10D2054963
LAB Type	Physician Office
Facility Name	FLORIDA EYE AND PLASTIC SURGERY ASSOCIATES INC
Street	11195 S JOG RD STE 1, 2
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	561 752-0075
CertificateType	4
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024