Organization
ANDVIN, LLC
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL DEFALCO OD (PRESIDENT)
(305) 820-5868
Entity
Organization
Contact information
Practice address
1665 W 49TH ST, SUITE 1408, HIALEAH, FL 33012-2957
(305) 820-5868
(305) 400-9247
Mailing address
1665 W 49TH ST, SUITE 1408, HIALEAH, FL 33012-2957
(305) 820-5868
(305) 400-9247
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC4014
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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