# PATRICK DEL VECCHIO, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396100939
- **Authorized official:** MR. MIKE MOYA (CREDENTIALING AGENT)
- **Authorized official phone:** (305) 542-8669

## Contact information

- **Practice address:** 28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
- **Practice address phone:** (305) 247-2334
- **Practice address fax:** (305) 247-7101
- **Mailing address:** 28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
- **Mailing address phone:** (305) 247-2334
- **Mailing address fax:** (305) 247-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4015 | FL | Yes |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 12/28/2015