Individual
DR. MICHELLE THERESA SANSEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19575 BISCAYNE BLVD STE 579, AVENTURA, FL 33180-2312
(305) 932-7373
(305) 933-8338
Mailing address
8565 BOCA GLADES BLVD W # CONDOG, BOCA RATON, FL 33434-4087
(954) 214-4261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5740
FL
Other
Enumeration date
10/23/2019
Last updated
07/15/2020
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