Provider Demographics
NPI:1760612048
Name:ROP CONSULTANTS OF SOUTH FLORIDA. P.A.
Entity Type:Organization
Organization Name:ROP CONSULTANTS OF SOUTH FLORIDA. P.A.
Other - Org Name:CHILDREN'S EYECARE OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:DORFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-431-2777
Mailing Address - Street 1:2740 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4826
Mailing Address - Country:US
Mailing Address - Phone:954-925-2740
Mailing Address - Fax:954-431-2291
Practice Address - Street 1:603 N FLAMINGO RD
Practice Address - Street 2:SUITE 250
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1023
Practice Address - Country:US
Practice Address - Phone:954-431-2777
Practice Address - Fax:954-431-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65865207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF60641Medicare UPIN