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Individual

TERESA JUMET-ESTEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
15600 NW 67TH AVE, 210, MIAMI LAKES, FL 33014-2174
(305) 825-2020
(305) 556-0557
Mailing address
15600 NW 67TH AVE, 210, MIAMI LAKES, FL 33014-2174
(305) 825-2020
(305) 556-0557

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO1491
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086853100
FL
Enumeration date
07/16/2006
Last updated
08/29/2011
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