Organization
MARCO POLO OPTICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA FERNANDEZ (OPTICIAN)
(305) 649-4527
Entity
Organization
Contact information
Practice address
1701 W FLAGLER ST STE 3, MIAMI, FL 33135-2098
(305) 649-4527
Mailing address
1701 W FLAGLER ST STE 3, MIAMI, FL 33135-2098
(305) 649-4527
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
3569317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086366100
—
FL
Enumeration date
05/15/2007
Last updated
04/12/2011
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