Provider Demographics
NPI:1972997914
Name:ARIADNA GONZALEZ - ZIPSE, M.D. LLC
Entity Type:Organization
Organization Name:ARIADNA GONZALEZ - ZIPSE, M.D. LLC
Other - Org Name:EYE DOCTORS OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIADNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ-ZIPSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-898-3226
Mailing Address - Street 1:14425 SW 92ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7903
Mailing Address - Country:US
Mailing Address - Phone:813-282-0941
Mailing Address - Fax:888-415-9932
Practice Address - Street 1:9600 SW 8TH ST
Practice Address - Street 2:STE 16
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2900
Practice Address - Country:US
Practice Address - Phone:813-282-0941
Practice Address - Fax:888-415-9932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93085207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty