Icuc Optometrist, Pc

NPI 1134420029 - Optometrist - 152W00000X

NPI Details
NPI 1134420029
Enumeration Date 11/08/2010
Last Updated 12/07/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DINA DINA
Position PRESIDENT
Phone (954) 895-9748
Fax
Practice Location
432 NW 105TH DR
CORAL SPRINGS FL, 33071-7916, US
Phone (954) 895-9748
Fax
Business Location
3860 VICTORY BLVD
STATEN ISLAND NY, 10314-6720, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC4448
Remove 1134420029 NPI Number
 

According to our database, Icuc Optometrist, Pc NPI is 1134420029, taxonomy code is 152W00000X and license number is OPC4448, license state is located at Florida. Icuc Optometrist, Pc physically located at 432 Nw 105th Dr, Coral Springs FL, 33071-7916. NPI Number 1033115704 has the healthcare provider type.

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1134420029 NPI number is provided on an as is basis without warranty of any kind. 1134420029 is maintained by the National Plan & Provider Enumeration System. The contents of Icuc Optometrist, Pc are for informational purposes only.