Individual
DR. ANDREW ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1134
(305) 326-6170
Mailing address
PO BOX 84, HAGAMAN, NY 12086-0084
(518) 956-1733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6115
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2022
Last updated
06/30/2022
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