Organization
MARCO POLO EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA ROURA (OPTICIAN)
(305) 262-7273
Entity
Organization
Contact information
Practice address
5786 S.W. 8 ST, MIAMI, FL 33144
(305) 262-7273
Mailing address
5786 S.W. 8 ST, WEST MIAMI, FL 33144
(305) 262-7273
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086366101
—
FL
Enumeration date
05/17/2007
Last updated
08/10/2017
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