Individual
MARISSA ANANDI IMRIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
157 NW 136TH AVE, PLANTATION, FL 33325-2624
(954) 851-9944
Mailing address
3823 WOODFIELD DR, COCONUT CREEK, FL 33073-2236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC006187
FL
Other
Enumeration date
10/20/2022
Last updated
12/19/2024
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