Organization
PAMELA EBMEIER MONTMENY O D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA EBMEIER O.D. (OWNER)
(954) 563-2211
Entity
Organization
Contact information
Practice address
2641 E OAKLAND PARK BLVD, SUITE 3, FT LAUDERDALE, FL 33306-1665
(954) 563-3211
(954) 563-3919
Mailing address
2641 E OAKLAND PARK BLVD, SUITE 3, FT LAUDERDALE, FL 33306-1665
(954) 563-3211
(954) 563-3919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3920370001
DME
FL
05
—
620082600
—
FL
01
—
FP779A
MEDICARE ID
FL
Enumeration date
10/07/2010
Last updated
02/03/2014
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