Organization
DR MAYDEN BORREGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYDEN BORREGO OD (OWNER)
(305) 496-1904
Entity
Organization
Contact information
Practice address
1800 SW 69TH AVE, PLANTATION, FL 33317-5027
(305) 496-1904
Mailing address
1800 SW 69TH AVE, PLANTATION, FL 33317-5027
(305) 496-1904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4502
FL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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