Individual
DR. PANTA A MOMAYEZZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3542 CORAL WAY, MIAMI, FL 33145
(305) 441-0533
(305) 441-0543
Mailing address
3542 CORAL WAY, MIAMI, FL 33145
(305) 441-0533
(305) 441-0543
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3659
FL
Other
Enumeration date
12/12/2006
Last updated
04/13/2011
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