Fountain Anti-Aging

NPI #1154834562 in Lakewood, Ohio

Provider Information

NPI Number
1154834562
Entity Type
Organization
Organization Name
Fountain Anti-Aging
Primary Specialty
Ophthalmology
Enumeration Date
Nov 7, 2017
Last Updated
Mar 17, 2018

Practice Location

Address
892 BEACH RD
State
Ohio
ZIP Code
44107-1018
Phone
(216) 233-8503

Authorized Official

Name
GEORGE WILLIAM ROZAKIS, MD
Title
CHAIRMAN
Phone
(216) 233-8503

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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