Individual
SARA RASEKHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1742 S CONGRESS AVE, PALM SPRINGS, FL 33461-2140
(561) 964-1333
(561) 964-2406
Mailing address
11625 SW 100TH TER, MIAMI, FL 33176-2525
(786) 376-2087
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5562
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/05/2018
Last updated
01/28/2020
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