Individual
ADRESSANT ADRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 W HALLANDALE BEACH BLVD STE 8, PEMBROKE PARK, FL 33023-4344
(305) 469-4596
Mailing address
4520 W HALLANDALE BEACH BLVD STE 8, PEMBROKE PARK, FL 33023-4344
(305) 469-4596
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5161
FL
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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