Provider Demographics
NPI:1295191906
Name:BEST OPHTHALMOLOGY GROUP.INC
Entity Type:Organization
Organization Name:BEST OPHTHALMOLOGY GROUP.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GONZALO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-330-4840
Mailing Address - Street 1:7211 N DALE MABRY HWY STE 222
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2669
Mailing Address - Country:US
Mailing Address - Phone:813-402-0798
Mailing Address - Fax:
Practice Address - Street 1:7211 N DALE MABRY HWY STE 222
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2669
Practice Address - Country:US
Practice Address - Phone:813-402-0798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty