Individual
NICOLAS HUERTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
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
(786) 543-4130
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6356
FL
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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