RETINA CONSULTANTS OF SOUTHWEST FLORIDA PA NPI 1790733020

NPI Information

NPI: 1790733020
Provider Name: RETINA CONSULTANTS OF SOUTHWEST FLORIDA, PA
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
2525 HARBOR BLVD
SUITE 302
PT CHARLOTTE, FL
ZIP 33952
Phone: (239) 939-4323
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RETINA CONSULTANTS OF SOUTHWEST FLORIDA, PA is a retina specialist ophthalmology in Pt Charlotte, FL. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA CONSULTANTS OF SOUTHWEST FLORIDA, PA NPI is 1790733020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2525 HARBOR BLVD
SUITE 302
PT CHARLOTTE, FL
ZIP 33952-317
Phone: (239) 939-4323
Fax: (239) 939-3983

The provider's authorized official is Joseph P. Walker .
The authorized official title is President/physician and has the following contact phone number (239) 939-4323.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 12/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology				No
2	207WX0107X	Ophthalmology	Retina Specialist			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CA7010	OTHER	FLORIDA	RAILROAD MEDICARE
2	33090C	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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