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Individual

JOSE GANDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
151 SW 184TH AVE, PEMBROKE PINES, FL 33029-5465
(954) 442-4182
Mailing address
6923 SW 20TH ST, POMPANO BEACH, FL 33068-4843

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7784
FL

Other

Enumeration date
06/27/2023
Last updated
06/27/2023
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