Pavel V Gazdovich Od Pa

NPI 1255722401 - Optometrist - 152W00000X

NPI Details
NPI 1255722401
Enumeration Date 02/10/2015
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name PAVEL V PAVEL
Position OPTOMETRIST/ OWNER
Phone (305) 227-3380
Fax (305) 554-0646
Practice Location
10101 W FLAGLER ST,
MIAMI FL, 33174, US
Phone (305) 227-3380
Fax (305) 554-0646
Business Location
3260 SW 140TH AVE
MIAMI FL, 33175-6755, US
Phone (305) 227-3380
Fax (305) 554-0646
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC4933
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According to our database, Pavel V Gazdovich Od Pa NPI is 1255722401, taxonomy code is 152W00000X and license number is OPC4933, license state is located at Florida. Pavel V Gazdovich Od Pa physically located at 10101 W Flagler St,, Miami FL, 33174. NPI Number 1033115704 has the healthcare provider type.

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1255722401 NPI number is provided on an as is basis without warranty of any kind. 1255722401 is maintained by the National Plan & Provider Enumeration System. The contents of Pavel V Gazdovich Od Pa are for informational purposes only.