Individual
MRS. MARIA A DE FALCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ETC
Contact information
Practice address
1665 W 49TH ST STE 1408, HIALEAH, FL 33012-2957
(305) 820-5869
Mailing address
1665 W 49TH ST STE 1408, HIALEAH, FL 33012-2957
(305) 820-5869
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322H00000X
—
FL
Enumeration date
07/19/2017
Last updated
07/21/2022
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