Individual
MARQUITTA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
151 SW 184TH AVE, PEMBROKE PINES, FL 33029-5465
(954) 442-4182
(954) 442-6524
Mailing address
5916 NW 16TH ST, SUNRISE, FL 33313-4708
(954) 708-0560
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6965
FL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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