Organization
ADVANCED EYE CARE OF HIALEAH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERI MARIE POMELLA OD (PRESIDENT)
(305) 556-6946
Entity
Organization
Contact information
Practice address
5952 W 16TH AVE, HIALEAH, FL 33012-6814
(305) 556-6946
(305) 825-0845
Mailing address
5952 W 16TH AVE, HIALEAH, FL 33012-6814
(305) 556-6946
(305) 825-0845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621004000
—
FL
Enumeration date
09/06/2006
Last updated
08/16/2011
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