Individual
MR. RONALD GITLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
10954 NW 7TH AVE, PRISM OPTICAL, MIAMI, FL 33168-2108
(305) 754-5894
(305) 754-7352
Mailing address
10954 NW 7TH AVE, PRISM OPTICAL, MIAMI, FL 33168-2108
(305) 754-5894
(305) 754-7352
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1179
FL
Other
Enumeration date
09/06/2006
Last updated
10/07/2015
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