George a Fournier III MD Facs PA

NPI #1639309206 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1639309206
Entity Type: Organization
Organization Name: George a Fournier III MD Facs PA
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGE A FOURNIER III MD FACS PA
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 17, 2009
Last Updated: Dec 28, 2009

Practice Location

Address: 2466 E COMMERCIAL BLVD
Address 2: STE 102
City: Ft Lauderdale
State: Florida
ZIP Code: 33308-4011
Phone: (954) 492-1177

Authorized Official

Name: DR. GEORGE A FOURNIER III, MD
Title: PRESIDENT
Phone: (954) 492-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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