Organization
LTA VISION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA TATIANA ARANGO O.D. (PRESIDENT)
(786) 280-5923
Entity
Organization
Contact information
Practice address
7265 NW 173RD DR APT 712, HIALEAH, FL 33015-8405
(786) 280-5923
Mailing address
7265 NW 173RD DR APT 712, HIALEAH, FL 33015-8405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 4793
FL
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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