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Organization

BLINKING OWL EYECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FATEN EDRISKHALAF OD (OWNER)
(786) 452-6690
Entity
Organization

Contact information

Practice address
5800 S UNIVERSITY DR, DAVIE, FL 33328-6102
(954) 252-2583
Mailing address
50 BISCAYNE BLVD APT 3602, MIAMI, FL 33132-2943
(786) 452-6690

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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