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Organization
MICHAEL HOLIFIELD OD PA
Active
Organization
MICHAEL HOLIFIELD OD PA
Active
Other names
Central Park Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HOLIFIELD O.D. (OPTOMETRIST PRESIDENT)
(954) 474-1374
Entity
Organization
Contact information
Practice address
9711 W BROWARD BLVD, PLANTATION, FL 33324-2309
(954) 474-1374
Mailing address
9711 W BROWARD BLVD, PLANTATION, FL 33324-2309
(954) 474-1374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL 3238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620824000
—
FL
Enumeration date
02/08/2007
Last updated
10/18/2012
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