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Organization
MICHAEL R. OBREGON, OD PA
Active
Organization
MICHAEL R. OBREGON, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. OBREGON O.D. (PRESIDENT)
(305) 527-0098
Entity
Organization
Contact information
Practice address
2726 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6005
(305) 444-9600
(305) 444-9636
Mailing address
2726 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6005
(305) 444-9600
(305) 444-9636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL 2089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078669100
—
FL
Enumeration date
02/09/2011
Last updated
02/09/2011
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