Individual
DEANNA BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7833 N SOUTHWOOD CIR, DAVIE, FL 33328-3833
(217) 816-4441
Mailing address
430 S. DIXIE HIGHWAY, STE 5, CORAL GABLES, FL 33146-2223
(217) 816-4441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173900
—
FL
Enumeration date
08/19/2010
Last updated
02/23/2012
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