Individual
DR. MARIA BRICENO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
14750 NW 77TH CT STE 110, MIAMI LAKES, FL 33016-1507
(305) 456-7313
(305) 640-5346
Mailing address
14750 NW 77TH CT, STE 110, MIAMI LAKES, FL 33016-1507
(305) 825-2020
(305) 556-0557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000019400
—
FL
Enumeration date
08/11/2007
Last updated
09/30/2022
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