OrganizationActive
1162 Military Trail LLC
NPI 1962748244 · Ophthalmology Physician · Miami, FL
Provider details
- NPI number
- 1962748244
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Erica Perreira, Chief Operating Officer
Practice location
1661 Sw 37th Ave
#102
Miami, FL 33145-1754
Phone: (305) 774-0891
Fax: (305) 774-0894
Mailing address
8076 W Sahara Ave
Las Vegas, NV 89117-7930
Registry dates
- Enumerated
- 2012-12-14
- Last updated
- 2012-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.