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Organization
JOSEALIX DAVERMAN OD PA
Active
Organization
JOSEALIX DAVERMAN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEALIX DAVERMAN O.D. (PRESIDENT)
(954) 249-7548
Entity
Organization
Contact information
Practice address
5920 W SAMPLE RD # 105-7, CORAL SPRINGS, FL 33067-3251
(954) 249-7548
Mailing address
6841 MIRAMAR PKWY, MIRAMAR, FL 33023-6023
(954) 967-9017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3885
NULL
152W00000X
Optometrist
Primary
OPC3885
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2775155
UNITED HEALTH CARE
FL
01
—
36141
BLUECROSS BLUESHIELDS
—
01
—
9195136
AETNA
—
01
—
FL3885
EYEMED
—
Enumeration date
02/02/2011
Last updated
02/02/2011
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