Organization
CORAL SPRINGS VISION CARE PLLC
Active
Other names
VISION SOURCE Coral Springs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE ORELLANA-MEDINA O.D. (MANAGER/OWNER)
(954) 753-0137
Entity
Organization
Contact information
Practice address
9773 W SAMPLE RD, CORAL SPRINGS, FL 33065-4003
(954) 753-0137
(954) 753-0139
Mailing address
9773 W SAMPLE RD, CORAL SPRINGS, FL 33065-4003
(954) 753-0137
(954) 753-0139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557300
—
FL
01
—
FM674A
MEDICARE ID
—
Enumeration date
03/20/2010
Last updated
10/30/2013
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