Organization
LISA E NADEL OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LISA NADEL (OWNER)
(954) 426-4944
Entity
Organization
Contact information
Practice address
6518 N STATE ROAD 7, COCONUT CREEK, FL 33073-3623
(954) 426-4944
(954) 426-3109
Mailing address
6518 N STATE ROAD 7, COCONUT CREEK, FL 33073-3623
(954) 426-4944
(954) 426-3109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4T9F
FLORIDA BLUE
—
Enumeration date
12/15/2010
Last updated
01/05/2017
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