Individual
DR. DAVID WAYNE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15916 W STATE ROAD 84, SUNRISE, FL 33326-1226
(954) 384-6200
(954) 384-0506
Mailing address
15908 WEST STATE ROAD 84, SUNRISE, FL 33326-1233
(954) 384-6200
(954) 384-0506
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2683
DC
152W00000X
Optometrist
Primary
OP2683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086891400
—
FL
Enumeration date
03/21/2006
Last updated
07/22/2021
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