Organization
SUNGLASS DEPOT OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE A GUERRA (PRESIDENT)
(305) 549-7333
Entity
Organization
Contact information
Practice address
1869 NW 20TH ST, MIAMI, FL 33142-7431
(305) 549-7333
(305) 549-7339
Mailing address
1869 NW 20TH ST, MIAMI, FL 33142-7431
(305) 549-7333
(305) 549-7339
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
FL
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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