Organization
SPECIALTY VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATINA CANNON (PRACTICE MANAGER)
(561) 322-3588
Entity
Organization
Contact information
Practice address
201 N UNIVERSITY DR STE 106, PLANTATION, FL 33324-2039
(561) 322-3588
Mailing address
6280 W SAMPLE RD STE 202, CORAL SPRINGS, FL 33067-3173
(561) 322-3588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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