Organization
DR MAYDEN BORREGO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYDEN BORREGO O.D (OWNER)
(305) 223-6142
Entity
Organization
Contact information
Practice address
8485 SW 40TH ST, SUITE 103, MIAMI, FL 33155-3244
(305) 223-6142
Mailing address
1800 SW 69TH AVE, PLANTATION, FL 33317-5027
(305) 223-6142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4502
FL
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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