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Contact Information

DR RYAN VERXAGIO OD PA
1315 SILK OAK DR
HOLLYWOOD, FL33021-1367
 Phone: 305-439-2015
 Fax: 305-503-9250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR RYAN VERXAGIO OD PA

NPI Number 1932438124
LBN Legal business name DR RYAN VERXAGIO OD PA
Authorized official RYAN VERXAGIO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/17/2009
Last updated 02/26/2023 - About 3 years ago
Identifiers
FL License # OPC3957
FL Medicaid 621009100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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