Organization
MIAMI LAKES EYE CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ZAMBRANO (ADMINISTRATOR)
(305) 825-2020
Entity
Organization
Contact information
Practice address
15600 NW 67TH AVE, 210, MIAMI LAKES, FL 33014-2174
(305) 825-2020
(305) 556-0557
Mailing address
15600 NW 67TH AVE, 210, MIAMI LAKES, FL 33014-2174
(305) 825-2020
(305) 556-0557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC002421
FL
152W00000X
Optometrist
OPC004209
FL
207W00000X
Ophthalmology Physician
ME0047462
FL
207W00000X
Ophthalmology Physician
Primary
ME0047681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057288800
—
FL
Enumeration date
07/16/2006
Last updated
09/14/2011
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