Individual
WILFREDO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4813 SW 8TH ST, CORAL GABLES, FL 33134-2522
(786) 431-1635
Mailing address
1115 ATLANTIC AVE, OPA LOCKA, FL 33054-3954
(956) 286-7680
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
8109TG
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC5086
FL
Other
Enumeration date
07/11/2012
Last updated
04/29/2025
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