Organization
SANTA LUCIA OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO GILL (PRESIDENT)
(305) 817-1818
Entity
Organization
Contact information
Practice address
11300 NW 87TH CT STE 115, HIALEAH GARDENS, FL 33018-4516
(305) 817-1818
Mailing address
11300 NW 87TH CT STE 115, HIALEAH GARDENS, FL 33018-4516
(305) 817-1818
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OE1635
FL
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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