Individual
CLIVE LATTIBEAUDIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10057 SUNSET STRIP STE B, SUNRISE, FL 33322-5301
(954) 749-5881
(954) 572-4822
Mailing address
10057 SUNSET STRIP STE B, SUNRISE, FL 33322-5301
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6278
FL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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