Individual
DR. CRISTINA LLERENA LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4397
(954) 262-3217
Mailing address
PO BOX 290250, DAVIE, FL 33329-0250
(954) 262-4397
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4151
FL
152W00000X
Optometrist
VUT007069
NY
152WP0200X
Pediatric Optometrist
OPC4151
FL
152WP0200X
Pediatric Optometrist
VUT007069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015611700
—
FL
Enumeration date
08/17/2006
Last updated
04/01/2019
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