| Organization Name: | EMPIRE MEDICAL |
| NPI Number: | 1003204488 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDA M GARRANA (PRESIDENT) |
| Mailing Address: | 2000 Palm Beach Lakes Blvd Suite 800 West Palm Beach |
| State: | FL US |
| Postal Code: | 334096503 |
| Phone Number: | 5619659110 |
| Fax Number: | 7062434627 |
| NPI Enumeration Date: | 01/07/2015 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |