Provider Demographics
NPI:1689251332
Name:CG EYECARE OF FLORIDA, INC
Entity type:Organization
Organization Name:CG EYECARE OF FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CIOARA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-864-6510
Mailing Address - Street 1:11662 N KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1005
Mailing Address - Country:US
Mailing Address - Phone:305-279-6404
Mailing Address - Fax:305-515-2717
Practice Address - Street 1:11662 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1005
Practice Address - Country:US
Practice Address - Phone:305-279-6404
Practice Address - Fax:305-515-2717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty