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Organization

DANIEL MAX & MARC ANDREA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIRSTEN PIPHER CANTRELL (MANAGER OF HEALTH SERVICES)
(561) 208-8464
Entity
Organization

Contact information

Practice address
11467 SAN JOSE BLVD STE 2, JACKSONVILLE, FL 32223-7501
(561) 275-2020
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
(561) 208-8464

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/20/2021
Last updated
08/16/2023
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