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Individual

MR. GANE FABER II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
4800 NE 20TH TER, SUITE 305, FT LAUDERDALE, FL 33308-4510
(954) 565-4009
(954) 565-4009
Mailing address
4800 NE 20TH TER, SUITE 305, FT LAUDERDALE, FL 33308-4510
(954) 565-4009
(954) 565-4009

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D03253
FL

Other

Enumeration date
08/14/2006
Last updated
03/11/2008
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