Provider Demographics
NPI:1457442915
Name:SKLAR, VIRGIL FERRER (MD, PHD)
Entity Type:Individual
Prefix:
First Name:VIRGIL
Middle Name:FERRER
Last Name:SKLAR
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3659 S MIAMI AVE
Mailing Address - Street 2:SUITE 4003
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4227
Mailing Address - Country:US
Mailing Address - Phone:305-854-4430
Mailing Address - Fax:305-854-4065
Practice Address - Street 1:3695 S MIAMI AVE
Practice Address - Street 2:SUITE 4003
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133
Practice Address - Country:US
Practice Address - Phone:305-854-4430
Practice Address - Fax:305-854-4065
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042799207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068241100Medicaid
FL96417Medicare ID - Type Unspecified
FL068241100Medicaid