Organization
JOSEFINA OPTICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA JOSEFINA MUNIZ O.D. (PRESIDENT)
(305) 884-3346
Entity
Organization
Contact information
Practice address
5372 W 16TH AVE, HIALEAH, FL 33012-2165
(786) 478-3554
Mailing address
5372 W 16TH AVE, HIALEAH, FL 33012-2165
(786) 478-3554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0P1330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078188600
—
FL
Enumeration date
02/17/2011
Last updated
10/08/2013
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