Organization
DANIEL MAX & MARC ANDREA LLC
Active
Other names
Stanton Optical
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN PIPHER CANTRELL (MANAGER OF HEALTH SERVICES)
(561) 208-8464
Entity
Organization
Contact information
Practice address
790 SKYMARKS DR STE 107, JACKSONVILLE, FL 32218-7267
(561) 275-2020
(561) 275-2030
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
(561) 208-8464
(561) 275-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
08/17/2023
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