Individual
DR. ANNETTE BADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3200 S UNIVERSITY DR, NSU COLLEGE OF OPTOMETRY SUITE 1402, DAVIE, FL 33328-2018
(954) 262-1402
(954) 262-1818
Mailing address
7440 NW 4TH ST APT 206, PLANTATION, FL 33317-7630
(954) 587-9689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620984000
—
FL
Enumeration date
10/27/2006
Last updated
07/08/2007
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