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Organization

PATRICK DEL VECCHIO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE MOYA (CREDENTIALING AGENT)
(305) 542-8669
Entity
Organization

Contact information

Practice address
28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
(305) 247-2334
(305) 247-7101
Mailing address
28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
(305) 247-2334
(305) 247-7101

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4015
FL

Other

Enumeration date
12/28/2015
Last updated
12/28/2015
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