Individual
DR. AMANDIP SINGH SAPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15651 SHERIDAN ST, SUITE 1000, DAVIE, FL 33331-3496
(954) 252-8885
(954) 252-8882
Mailing address
15651 SHERIDAN ST, SUITE 1000, DAVIE, FL 33331-3496
(954) 252-8885
(954) 252-8882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11485T
CA
152W00000X
Optometrist
Primary
OPC3739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68121
BLUE CROSS BLUE SHIELD ID
FL
Enumeration date
08/22/2006
Last updated
07/09/2007
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