Provider Demographics
NPI:1700066925
Name:FLORIDA LOW VISION SOLUTIONS INC
Entity Type:Organization
Organization Name:FLORIDA LOW VISION SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSMIHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-989-0611
Mailing Address - Street 1:4700 NW 2ND AVE # 404
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4878
Mailing Address - Country:US
Mailing Address - Phone:561-544-1666
Mailing Address - Fax:561-544-1665
Practice Address - Street 1:4700 NW 2ND AVE # 404
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4878
Practice Address - Country:US
Practice Address - Phone:561-544-1666
Practice Address - Fax:561-544-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation