Individual
MIRLINE JEAN LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2050 NW 84TH TER, PEMBROKE PINES, FL 33024
(305) 794-7457
Mailing address
PO BOX 849072, PEMBROKE PINES, FL 33084-1072
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6003
FL
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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