Individual
DIMITRI GARCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7261 SHERIDAN ST STE 305, HOLLYWOOD, FL 33024-2709
(754) 400-8932
(754) 400-8923
Mailing address
7261 SHERIDAN ST STE 305, HOLLYWOOD, FL 33024-2709
(754) 400-8932
(954) 400-8923
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
DO5239
FL
156FX1800X
Optician
Primary
DO5239
FL
Other
Enumeration date
06/01/2007
Last updated
09/24/2020
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