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Individual

DR. JESUS CUEVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1608 TOWN CENTER BOULEVARD, SUITE C, WESTON, FL 33327
(954) 384-1127
Mailing address
1925 HIBISCUS LN, MAITLAND, FL 32751-3545
(305) 804-0645

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FL 4122
EYEMED
FL
Enumeration date
05/23/2007
Last updated
07/08/2007
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