Individual
MICAH RAMON GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1941 MICHIGAN AVE, COCOA, FL 32922-5728
(321) 638-3931
(321) 638-0788
Mailing address
1941 MICHIGAN AVE, COCOA, FL 32922-5728
(321) 638-3931
(321) 638-0788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL3800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620988200
—
FL
Enumeration date
08/21/2006
Last updated
02/28/2013
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