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Organization
SOUTH FLORIDA EYE CARE
Active
Organization
SOUTH FLORIDA EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDANIA FERNANDEZ (OWNER)
(305) 794-3783
Entity
Organization
Contact information
Practice address
5372 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 362-4020
Mailing address
601 LA VILLA DR, MIAMI SPRINGS, FL 33166-6029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC4790
MEDICAL LICENSE
FL
Enumeration date
05/08/2024
Last updated
05/08/2024
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