Individual
CLAUDIA REGINA DELASOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
15601 SW 127TH AVE, MIAMI, FL 33177-1406
(305) 964-3852
Mailing address
15601 SW 127TH AVE, MIAMI, FL 33177-1406
(305) 964-3852
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4548
FL
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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