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Individual

EDWARD M MENDELSOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4830 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4606
(954) 491-0530
Mailing address
4830 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4606
(954) 491-0530

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1431
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086060300
FL
Enumeration date
10/26/2006
Last updated
05/08/2008
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