Organization
MIAMI OPTICAL BOUTIQUE LLC
Active
Organization
MIAMI OPTICAL BOUTIQUE LLC
Active
Other names
MIAMI OPTICAL BOUTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILLA DIEZ (OWNER)
(833) 765-6275
Entity
Organization
Contact information
Practice address
1440 NW NORTH RIVER DR, MIAMI, FL 33125-2892
(305) 414-3020
Mailing address
1440 NW NORTH RIVER DR, MIAMI, FL 33125-2892
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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