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Individual

DR. MARLENE CRUZ-GOVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4577 WESTON RD, WESTON, FL 33331-3141
(954) 217-5070
Mailing address
4577 WESTON RD, WESTON, FL 33331-3141
(954) 217-5070
(954) 217-5080

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2935
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20692
BCBS
FL
01
542128303
VSP
FL
05
620992100
FL
Enumeration date
07/31/2006
Last updated
08/12/2019
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