Individual
GRAHAM RASANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6863 STIRLING RD, DAVIE, FL 33314-7012
(954) 583-6700
Mailing address
7480 NW 10TH PL, PLANTATION, FL 33313-5911
(954) 667-9316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002251
PA
152W00000X
Optometrist
Primary
OPC 4449
FL
Other
Enumeration date
07/27/2009
Last updated
10/27/2009
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