Individual
MIRIAM MENDIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
5438 SW 8TH ST, CORAL GABLES, FL 33134-2267
(305) 444-8676
(305) 444-5181
Mailing address
3180 SW 129TH AVE, MIAMI, FL 33175-2508
(305) 905-9184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4038
FL
Other
Enumeration date
01/13/2009
Last updated
12/21/2023
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