Individual
MR. DIEGO BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5976 CORAL RIDGE DR, CORAL SPRINGS, FL 33076-3302
(954) 227-2770
(954) 227-7488
Mailing address
5976 CORAL RIDGE DR, CORAL SPRINGS, FL 33076-3302
(954) 227-2770
(954) 227-7488
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4565
FL
332H00000X
Eyewear Supplier
4565
FL
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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