Individual
MICHELLE NICOLE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10101 W FLAGLER ST, MIAMI, FL 33174-1808
(305) 424-8451
(305) 424-8526
Mailing address
10101 W FLAGLER ST, TARGET OPTICAL, MIAMI, FL 33174-1808
(305) 424-8451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4703
FL
Other
Enumeration date
08/08/2012
Last updated
03/28/2017
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