Individual
LEONARDO COELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4242 NW 68TH WAY, LAUDERHILL, FL 33319-7324
(305) 788-8553
Mailing address
4242 NW 68TH WAY, LAUDERHILL, FL 33319-7324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5608
FL
Other
Enumeration date
04/29/2017
Last updated
04/03/2019
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