Individual
HEIDI CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABO-NCLE
Contact information
Practice address
13600 SW 288TH ST, HOMESTEAD, FL 33033-1905
(305) 910-2974
Mailing address
13600 SW 288TH ST, HOMESTEAD, FL 33033-1905
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7089
FL
Other
Enumeration date
05/11/2023
Last updated
02/28/2024
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