Organization
DALUZ OPTICAL AND SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REINALDO HUERTAS (PRESIDENT)
(305) 557-6777
Entity
Organization
Contact information
Practice address
4528 W 12TH AVE, HIALEAH, FL 33012-3325
(305) 557-6777
Mailing address
4528 W 12TH AVE, HIALEAH, FL 33012-3325
(305) 557-6777
Taxonomy
Speciality
Code
Description
License number
State
152WX0102X
Occupational Vision Optometrist
471891-3
FL
156FX1800X
Optician
Primary
OE 1493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630227100
—
FL
Enumeration date
01/23/2007
Last updated
10/24/2008
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