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Individual

SHURNETT COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
5976 CORAL RIDGE DR, CORAL SPRINGS, FL 33076-3302
(954) 227-2770
Mailing address
5976 CORAL RIDGE DR, CORAL SPRINGS, FL 33076-3302
(954) 227-2770

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000000
UNKNOWN
FL
Enumeration date
06/01/2022
Last updated
06/01/2022
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