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Individual

FREDDIE LOVELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BOARD CERTIFIED

Contact information

Practice address
133 N STATE ROAD 7, PLANTATION, FL 33317-3100
(954) 587-7075
(954) 587-7076
Mailing address
133 N STATE ROAD 7, PLANTATION, FL 33317-3100
(954) 587-7075
(954) 587-7076

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
DO 3084
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
630184300
FL
Enumeration date
05/09/2007
Last updated
11/21/2008
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