Individual
MICHAL KORNEEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3346 GRIFFIN RD, FORT LAUDERDALE, FL 33312-5519
(754) 280-1144
Mailing address
3346 GRIFFIN RD, FORT LAUDERDALE, FL 33312-5519
(754) 280-1144
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
DO7947
FL
156FX1800X
Optician
Primary
DO7947
FL
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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