Individual
DR. JAMES KRISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6795 STIRLING RD, DAVIE, FL 33314-7118
(954) 961-1509
(954) 961-1604
Mailing address
6795 STIRLING RD, DAVIE, FL 33314-7118
(954) 961-1509
(954) 961-1604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084184600
—
FL
01
—
OS-D0626
BC/BS
FL
Enumeration date
10/19/2005
Last updated
01/21/2014
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