Organization
LAURA FALCO, O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ANGELA FALCO OD (OWNER)
(954) 473-0100
Entity
Organization
Contact information
Practice address
2279 S UNIVERSITY DR, DAVIE, FL 33324-5828
(954) 473-0100
(954) 474-7832
Mailing address
2279 S UNIVERSITY DR, DAVIE, FL 33324-5828
(954) 473-0100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620566600
—
FL
Enumeration date
10/11/2018
Last updated
10/11/2018
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