Individual provider · NPI-1

Dr. Ignatius C Cyriac, M.D.

Ophthalmology, Glaucoma Specialist · Brandon, FL

NPI number1649361015
StatusActive
Last updated in NPPESMay 18, 2020

Details

NPI
1649361015
Entity type
Individual (NPI-1)
Name
Dr. Ignatius C Cyriac
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 28, 2006
Certification date
May 18, 2020
Last updated
May 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207WX0009X Ophthalmology, Glaucoma SpecialistME90747FLYes
207W00000X OphthalmologyME90747FL

Practice location

403 Vonderburg Dr
Brandon, FL 33511-5982

Phone 813-681-1122 · Fax 813-684-4924

Mailing address

403 Vonderburg Dr
Brandon, FL 33511-5982

Phone 813-681-1122 · Fax 813-684-4924

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