Organization
EC BOUTIQUE FLORIDA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZZETTE IRIZARRY DO (TREASURE)
(954) 544-8878
Entity
Organization
Contact information
Practice address
12801 W SUNRISE BLVD STE 259, SUNRISE, FL 33323-4002
(787) 998-4514
Mailing address
138 AVE WINSTON CHURHILL, PMB 674, SAN JUAN, PR 00926
(954) 600-9002
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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