Individual
RYAN-QUANG VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 397-0527
Mailing address
3200 S. UNIVERSITY DR, ZIFF BUILDING 2ND FLOOR, DAVIE, FL 33328-2018
(954) 262-4200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5833
FL
Other
Enumeration date
06/10/2020
Last updated
07/15/2020
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