Organization
ROYAL PALM OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN KIRSCH LDO (PRESIDENT)
(561) 912-0800
Entity
Organization
Contact information
Practice address
17940 MILITARY TRL, SUITE 400, BOCA RATON, FL 33496-2499
(561) 912-0800
Mailing address
17940 MILITARY TRL, SUITE 400, BOCA RATON, FL 33496-2499
(561) 912-0800
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
FL3281
FL
332H00000X
Eyewear Supplier
FL5348
FL
Other
Enumeration date
08/22/2007
Last updated
08/07/2008
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