Individual
ALYSSA PANAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3374 NW 101ST AVE APT SUITE, SUNRISE, FL 33351-6955
(561) 699-5273
Mailing address
3374 NW 101ST AVE APT SUITE, SUNRISE, FL 33351-6955
(561) 699-5273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5816
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2020
Last updated
09/21/2021
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