Chandra V. Mickles O.D.

NPI 1831326321 - Optometrist - 152W00000X

NPI Details
NPI 1831326321
Gender Female
Enumeration Date 06/11/2009
Last Updated 06/30/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
3200 S UNIVERSITY DR
DAVIE FL, 33328-2018, US
Phone (954) 262-4200
Fax
Business Location
3200 S UNIVERSITY DR
DAVIE FL, 33328-2018, US
Phone (954) 262-4200
Fax (205) 934-6755
Toxanomy
Taxonomy Code 152W00000X
License State Alabama
License Number T-197-TA-814
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According to our database, Dr. Chandra V. Mickles O.D. NPI is 1831326321, taxonomy code is 152W00000X and license number is T-197-TA-814, license state is located at Alabama. Chandra V. Mickles O.D. physically located at 3200 S University Dr, Davie FL, 33328-2018. NPI Number Chandra V. Mickles O.D. has the Individual type.

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1831326321 NPI number is provided on an as is basis without warranty of any kind. 1831326321 is maintained by the National Plan & Provider Enumeration System. The contents of Chandra V. Mickles O.D. are for informational purposes only.