Individual
JOHN VILLAMIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1201 OAKWATER DR, ROYAL PALM BEACH, FL 33411-6107
(561) 354-8772
Mailing address
1201 OAKWATER DR, ROYAL PALM BEACH, FL 33411-6107
(561) 354-8772
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6145
FL
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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