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Individual

MIGUEL ENRIQUE DE LA TORRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
13641 SW 26TH ST, MIAMI, FL 33175-6378
(305) 559-1314
(305) 559-1397
Mailing address
13641 SW 26TH ST, MIAMI, FL 33175-6378
(305) 559-1314
(305) 559-1397

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3580
FL

Other

Enumeration date
09/24/2006
Last updated
09/03/2019
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