Individual
DR. JERRY SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13550 W SUNRISE BLVD, SUNRISE, FL 33323-3902
(954) 838-0700
Mailing address
1919 VAN BUREN ST, #307, HOLLYWOOD, FL 33020-7810
(954) 838-0700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC695
FL
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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