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Individual

DR. MICHAEL B HAUGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
11380 PROSPERITY FARMS RD, SUITE 119, PALM BEACH GARDENS, FL 33410-3464
(561) 627-1114
(561) 627-2304
Mailing address
11380 PROSPERITY FARMS RD, SUITE 119, PALM BEACH GARDENS, FL 33410-3464
(561) 627-1114
(561) 627-2304

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2181
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078980100
FL
Enumeration date
10/25/2005
Last updated
04/07/2015
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