Individual
DR. KEISHA MELAINE EBERWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7400 N KENDALL DR, #302, MIAMI, FL 33156-7706
(305) 670-2131
Mailing address
8585 SUNSET DR, #103A, MIAMI, FL 33143-3746
(305) 670-2131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620779100
—
FL
Enumeration date
10/26/2006
Last updated
03/17/2017
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