Organization
D GLEN JOSEPH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL GLEN JOSEPH OD (OWNER)
(561) 715-2737
Entity
Organization
Contact information
Practice address
12055 PINES BLVD, PEMBROKE PINES, FL 33026-4112
(954) 638-3139
(954) 431-0745
Mailing address
21533 HALSTEAD DR, BOCA RATON, FL 33428-4844
(561) 715-2737
(954) 431-0745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3971
FL
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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