Organization
NIVARDO R PARRA OPTIC ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIVARDO R PARRA (OWNER)
(954) 990-0967
Entity
Organization
Contact information
Practice address
4400 N FEDERAL HWY STE 48, BOCA RATON, FL 33431-3426
(954) 990-0967
Mailing address
4400 N FEDERAL HWY STE 48, BOCA RATON, FL 33431-3426
(954) 990-0967
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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