Organization
DANIEL MAX & MARC ANDREA LLC
Active
Other names
My Eye Lab 186
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN PIPHER CANTRELL (MANAGER OF HEALTH SERVICES)
(561) 208-8464
Entity
Organization
Contact information
Practice address
13582 UNIVERSITY BLVD #600, SUGAR LAND, TX 77479
(346) 279-2219
Mailing address
3801 S CONGRESS AVE, PALM SPRINGS, FL 33461-4140
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
08/16/2023
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