Organization
MORVARID FALLAHZADEH, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORVARID FALLAHZADEH O.D. (MANAGING MEMBER)
(954) 817-9646
Entity
Organization
Contact information
Practice address
13950 OAK RIDGE DR, DAVIE, FL 33325-3001
(954) 817-9646
Mailing address
13950 OAK RIDGE DR, DAVIE, FL 33325-3001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4919
FL
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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