Organization
DEON RAE ERICKSON OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEON RAE ERICKSON O D (OPTOMETRIST)
(561) 734-1887
Entity
Organization
Contact information
Practice address
3615 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436-7244
(561) 734-1887
(561) 736-8991
Mailing address
3615 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436-7244
(561) 734-1887
(561) 736-8991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL2628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084865400
—
FL
Enumeration date
12/04/2007
Last updated
01/14/2008
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