Organization
MILLENNIUM OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRIZIA RUBIN (OWNER)
(386) 677-2100
Entity
Organization
Contact information
Practice address
1545 HAND AVE, SUITE B3, ORMOND BEACH, FL 32174-1140
(386) 677-2100
(386) 677-5374
Mailing address
1545 HAND AVE, SUITE B3, ORMOND BEACH, FL 32174-1140
(386) 677-2100
(386) 677-5374
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5933
FL
Other
Enumeration date
05/04/2009
Last updated
10/25/2013
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