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Organization
JOANNETTE SALAS OD AND ASSOCIATES PA
Active
Organization
JOANNETTE SALAS OD AND ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDI WOERNER (PROFESSIONAL RELATIONS MANAGER)
(856) 228-1000
Entity
Organization
Contact information
Practice address
1311 E MICHIGAN ST, ORLANDO, FL 32806-4814
(407) 843-3533
Mailing address
1 HARMON DR, BLACKWOOD, NJ 08012-5103
(856) 228-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC3633
OPTOMETRIST LICENSE
FL
Enumeration date
02/04/2022
Last updated
09/19/2022
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