Organization
MERRYL S KOPLO OD PA
Active
Other names
Koplo Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERRYL S KOPLO OD (PRESIDENT)
(954) 473-6860
Entity
Organization
Contact information
Practice address
1858 N UNIVERSITY DR, PLANTATION, FL 33322-4117
(954) 473-6860
(954) 473-8660
Mailing address
1858 N UNIVERSITY DR, PLANTATION, FL 33322-4117
(954) 473-6860
(954) 473-8660
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
FL3131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6212492 00
—
FL
Enumeration date
02/25/2008
Last updated
10/03/2013
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