Individual
ROBERT E MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 NE 44TH ST, OAKLAND PARK, FL 33334-1437
(954) 776-0363
Mailing address
23 NE 44TH ST, OAKLAND PARK, FL 33334-1437
(954) 776-0363
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086606700
—
FL
01
—
59-2299228
TAX ID
FL
Enumeration date
12/14/2006
Last updated
07/09/2007
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