Individual
DR. MATTHEW J. FENSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13767 SW 152ND ST, MIAMI, FL 33177-8126
(305) 255-8822
(305) 255-9507
Mailing address
13767 SW 152ND ST, MIAMI, FL 33177-8126
(305) 255-8822
(305) 255-9507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1148
FL
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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