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Organization
PRISM OPTICAL, INC.
Active
Organization
PRISM OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A GITLAN (PRESIDENT)
(305) 754-5894
Entity
Organization
Contact information
Practice address
10992 NW 7TH AVE, MIAMI, FL 33168-2108
(305) 754-5894
Mailing address
10954 NW 7TH AVE, MIAMI, FL 33168-2108
(305) 754-5894
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1179
FL
Other
Enumeration date
01/05/2007
Last updated
10/07/2015
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