Individual
KENNETH MALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5333 N DIXIE HWY STE 101, OAKLAND PARK, FL 33334-3453
(954) 493-5052
Mailing address
5333 N DIXIE HWY STE 101, OAKLAND PARK, FL 33334-3453
(954) 493-5052
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC000002541
FL
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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