Provider Demographics
NPI:1760660690
Name:BJF ENTERPRISES INC
Entity Type:Organization
Organization Name:BJF ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:GANE
Authorized Official - Middle Name:
Authorized Official - Last Name:FABER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-565-4009
Mailing Address - Street 1:4800 NE 20TH TER
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4510
Mailing Address - Country:US
Mailing Address - Phone:954-565-4009
Mailing Address - Fax:954-565-4009
Practice Address - Street 1:4800 NE 20TH TER
Practice Address - Street 2:SUITE 305
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4510
Practice Address - Country:US
Practice Address - Phone:954-565-4009
Practice Address - Fax:954-565-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO3253332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0937050001Medicare NSC