Organization
MICHAEL R. OBREGON, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. OBREGON O.D. (PRESIDENT)
(305) 527-0098
Entity
Organization
Contact information
Practice address
2726 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6005
(305) 444-9600
(305) 444-9636
Mailing address
2726 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6005
(305) 444-9600
(305) 444-9636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL 2089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078669100
—
FL
Enumeration date
02/09/2011
Last updated
02/09/2011
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