Organization
ONLY FOR EYES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA A REASON (PRESIDENT)
(954) 456-7200
Entity
Organization
Contact information
Practice address
800 E HALLANDALE BEACH BLVD STE 9, HALLANDALE BEACH, FL 33009-4475
(954) 456-7200
Mailing address
800 E HALLANDALE BEACH BLVD STE 9, HALLANDALE BEACH, FL 33009-4475
(954) 456-7200
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DA 5767
FL
Other
Enumeration date
08/05/2006
Last updated
01/11/2008
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