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Organization
RANDY A GROVER O D & ASSOCIATES INC
Active
Organization
RANDY A GROVER O D & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY A. GROVER O.D. (PRESIDENT)
(305) 828-8393
Entity
Organization
Contact information
Practice address
9300 NW 77TH AVE, HIALEAH GARDENS, FL 33016-2504
(305) 828-8393
(305) 828-8393
Mailing address
801 NE 191ST TER, MIAMI, FL 33179-3976
(786) 338-3272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621131300
—
FL
Enumeration date
05/17/2007
Last updated
11/08/2023
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