Individual
MIHAI GITLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3004 NW 130TH TER, SUNRISE, FL 33323-3932
(719) 201-5117
Mailing address
3004 NW 130TH TER APT 438, SUNRISE, FL 33323-3951
(719) 201-5117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5806
FL
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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