Organization
SANDHILL OCULAR PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI JAHRLING MALOUIN BCO, BADO (OWNER)
(386) 218-0445
Entity
Organization
Contact information
Practice address
112 TREEMONTE DR, ORANGE CITY, FL 32763-7953
(386) 880-4408
Mailing address
112 TREEMONTE DR, ORANGE CITY, FL 32763-7953
(386) 218-0445
(386) 244-9773
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
03/26/2025
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