Organization
ENVISION MOBILE OPTICAL
Active
Other names
Envision Mobile Optical
Organization subpart
No
Provider details
NPI number
Authorized official
YOEL SIBADIE (PRESIDENT)
(757) 609-1597
Entity
Organization
Contact information
Practice address
14715 SW 112TH TER, MIAMI, FL 33196-3326
(757) 609-1597
Mailing address
14715 SW 112TH TER, MIAMI, FL 33196-3326
(757) 609-1597
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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