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Organization
ST GEORGE OD LLC
Active
Organization
ST GEORGE OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RETA GUIRGUIS O.D. (OPTOMETRIST)
(954) 624-5649
Entity
Organization
Contact information
Practice address
5058 GREENWICH PRESERVE CT, BOYNTON BEACH, FL 33436-5802
(954) 624-5649
Mailing address
5058 GREENWICH PRESERVE CT, BOYNTON BEACH, FL 33436-5802
(954) 624-5649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4985
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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