Organization
IDEAL OPTICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GONZALO JESUS CABARGA LDO (PRESIDENT)
(305) 274-1313
Entity
Organization
Contact information
Practice address
11130 N KENDALL DR STE 102, MIAMI, FL 33176-0939
(305) 274-1313
Mailing address
11130 N KENDALL DR STE 102, MIAMI, FL 33176-0939
(305) 274-1313
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
935
FL
Other
Enumeration date
08/27/2007
Last updated
09/02/2008
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