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Individual

MR. MAURICE WILLIAM GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
1644 NE 164TH ST, NORTH MIAMI BEACH, FL 33162-4017
(305) 945-3615
(305) 940-2065
Mailing address
RUSH OPTICAL, INC, 1644 NE 164 STREET, NORTH MIAMI BEACH, FL 33162-4017
(305) 945-3615
(305) 940-2065

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 0002672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086866300
FL
Enumeration date
05/11/2006
Last updated
12/26/2007
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