Individual
MR. GHAITH ADEEB BASHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
2800 W 84TH ST UNIT 8, HIALEAH, FL 33018-4922
(305) 362-3937
(305) 362-3948
Mailing address
2800 W 84TH ST UNIT 8, HIALEAH, FL 33018-4922
(305) 362-3937
(305) 362-3948
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 2639
FL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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