Organization
POH DORAL LLC
Active
Other names
ELIOS OPTICAL DORAL
Organization subpart
No
Provider details
NPI number
Authorized official
MOISES FRIDZON (COO)
(305) 649-4011
Entity
Organization
Contact information
Practice address
10674 NW 19TH ST, DORAL, FL 33172-2542
(305) 649-4011
Mailing address
20815 NE 16TH AVE STE B15, MIAMI, FL 33179-2121
(305) 649-4011
(305) 649-4023
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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