Organization
AMERICA OPTICAL AB GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYZA M DE SOUZA (PRESIDENT)
(954) 482-0030
Entity
Organization
Contact information
Practice address
1377 S MILITARY TRL, DEERFIELD BEACH, FL 33442-7634
(954) 482-0030
(954) 531-6938
Mailing address
1377 S MILITARY TRL, DEERFIELD BEACH, FL 33442-7634
(954) 482-0030
(954) 531-6938
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1359
FL
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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