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Individual

YANISLAV SHOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
3745 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104
(305) 940-0200
(305) 944-0222
Mailing address
3745 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104
(305) 940-0200
(305) 944-0222

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5936
FL

Other

Enumeration date
02/06/2014
Last updated
06/03/2015
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