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Individual

SAMANTHA KIMBERLY MCINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3200 S UNIVERSITY DR, TERRY BUILDING 1402, DAVIE, FL 33328-2018
(954) 262-4200
(954) 262-3904
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4397
(954) 262-2269

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5206
FL

Other

Enumeration date
07/14/2016
Last updated
07/14/2016
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