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Individual

J. LOUIS KORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
12055 PINES BLVD, PEMBROKE PINES, FL 33026-4112
(954) 392-5450
(954) 431-0745
Mailing address
11891 ROYAL PALM BLVD, APT. 203, CORAL SPRINGS, FL 33065-7374
(954) 344-8127

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2537
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
939468
EYEMED
FL
Enumeration date
09/06/2007
Last updated
09/06/2007
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