Individual
DR. JENNIFER ELAINE LAGE-SALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17120 ROYAL PALM BLVD, SUITE 2, WESTON, FL 33326
(954) 384-1127
(954) 384-7105
Mailing address
17120 ROYAL PALM BLVD, SUITE 2, WESTON, FL 33326
(954) 384-1127
(954) 384-7105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621087200
—
FL
Enumeration date
02/27/2007
Last updated
05/11/2021
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