Individual
LIDICE MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5985 W 25 CT, SUITE 109, HIALEAH, FL 33016
(305) 828-4840
(305) 828-4840
Mailing address
5985 W 25 CT, SUITE 109, HIALEAH, FL 33016
(305) 828-4840
(305) 828-4840
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D06015
FL
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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