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Individual

BRUCE JAY CLARIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
14429 S DIXIE HWY, MIAMI, FL 33176-7924
(305) 253-2525
(305) 235-3174
Mailing address
8616 S.W. 79 PLACE, MIAMI, FL 33143
(305) 761-5303

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001515
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620540200
FL
Enumeration date
01/19/2007
Last updated
09/20/2011
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