Individual
MR. DOUGLAS JOHN MACHIELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5493 10TH AVE N, GREENACRES, FL 33463-2056
(561) 439-0075
(561) 439-0413
Mailing address
3704 VALLEY PARK WAY, LAKE WORTH, FL 33467-2333
(561) 641-5741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078761200
—
FL
Enumeration date
08/23/2005
Last updated
07/27/2010
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