Individual
VIRGINIA PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
3773 W FLAGLER ST, CORAL GABLES, FL 33134-1601
(786) 357-6748
Mailing address
13973 SW 46TH TER APT C223, MIAMI, FL 33175-4433
(786) 357-6748
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OD7242
FL
Other
Enumeration date
03/12/2024
Last updated
04/18/2024
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