Provider Demographics
NPI:1457122582
Name:GLOBECHEK ENTERPRISES, LLC
Entity Type:Organization
Organization Name:GLOBECHEK ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MALLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-538-4661
Mailing Address - Street 1:3930 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-1551
Mailing Address - Country:US
Mailing Address - Phone:877-456-2324
Mailing Address - Fax:
Practice Address - Street 1:3930 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-1551
Practice Address - Country:US
Practice Address - Phone:877-456-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty