Ana Abugazaleh, LDO
Technician/Technologist, Optician in Davie, FL. Individual provider (NPI-1).
NPI number1023109774
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023109774
- Entity type
- Individual (NPI-1)
- Name
- Ana Abugazaleh
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 2523 | FL | Yes |
Other names
- Ana Detoro (Former Name)
Practice location
3200 S University DrNsu The Eye Institute Sanford Ziff 2nd Floor
Davie, FL 33328-2018
Phone 954-262-4213
Mailing address
7824 Nw 200th StHialeah, FL 33015-6636
Phone 305-829-2928
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