Individual
JOE SHWAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2234 WESTON RD., WESTON, FL 33326
(954) 217-3991
Mailing address
2521 MONTEREY CT, WESTON, FL 33327-1509
(954) 217-3991
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
916
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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