Individual
MININA MCKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1860 N PINE ISLAND RD STE 105, PLANTATION, FL 33322-5234
(754) 216-8333
Mailing address
4526 SW 179TH WAY, MIRAMAR, FL 33029-6306
(954) 319-8468
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4049
FL
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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