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Organization

STYLE SITE OPTICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL ELBRAND LDO (PRESIDENT)
(305) 935-5250
Entity
Organization

Contact information

Practice address
19013 BISCAYNE BLVD, AVENTURA, FL 33180-2819
(305) 935-5250
(305) 935-5250
Mailing address
19013 BISCAYNE BLVD, AVENTURA, FL 33180-2819
(305) 935-5250
(305) 935-5250

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086702101
FL
Enumeration date
08/08/2007
Last updated
04/24/2008
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