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Organization
C JUSTIN HOLCOMB OD LLC
Active
Organization
C JUSTIN HOLCOMB OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JUSTIN HOLCOMB OD (OWNER)
(305) 220-7555
Entity
Organization
Contact information
Practice address
8410 W FLAGLER ST, SUITE 201, MIAMI, FL 33144-2092
(305) 220-7555
(305) 220-6020
Mailing address
8410 W FLAGLER ST, SUITE 201, MIAMI, FL 33144-2092
(305) 220-7555
(305) 220-6020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013564100
—
FL
Enumeration date
06/03/2015
Last updated
06/03/2015
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