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Organization

LIANNE M. PINO O.D., P.A.

Active
Other names
Exceptional Vision
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIANNE MARIE PINO OD (PRESIDENT)
(786) 242-7755
Entity
Organization

Contact information

Practice address
9000 SW 152ND ST, SUITE 206, PALMETTO BAY, FL 33157-1981
(786) 242-7755
(786) 242-0070
Mailing address
9000 SW 152ND ST, SUITE 206, PALMETTO BAY, FL 33157-1981
(786) 242-7755
(786) 242-0070

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3390
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620934300
FL
Enumeration date
03/29/2006
Last updated
03/24/2009
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