Individual
MARIEM ABDOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4200
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002813
PA
152W00000X
Optometrist
Primary
OPC4916
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12564320
CAQH PROVIDER NUMBER
PA
Enumeration date
07/03/2013
Last updated
08/19/2014
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