Organization
MIRIAM MENDIVIL OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM MENDIVIL OD (PRESIDENT)
(305) 905-9184
Entity
Organization
Contact information
Practice address
5434 SW 8TH ST, CORAL GABLES, FL 33134-2267
(305) 444-8676
Mailing address
3180 SW 129TH AVE, MIAMI, FL 33175-2508
(305) 905-9184
(305) 225-3986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4038
FL
Other
Enumeration date
04/14/2011
Last updated
12/21/2023
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