Individual
AZIFAH SALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11253 PINES BLVD, PEMBROKE PINES, FL 33026-4118
(954) 437-2186
Mailing address
700 NW 86TH AVE, PEMBROKE PINES, FL 33024-6547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5426
FL
Other
Enumeration date
07/18/2017
Last updated
07/27/2020
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