Individual
RENYA S MASSAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11890 SW 25TH CT, MIRAMAR, FL 33025-0776
(754) 265-9267
Mailing address
2640 S UNIVERSITY DR APT 223, DAVIE, FL 33328-1477
(754) 265-9267
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6344
FL
Other
Enumeration date
03/29/2023
Last updated
04/11/2024
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