Charles Anzalone
Technician/Technologist, Optician in Boca Raton, FL. Individual provider (NPI-1).
NPI number1043854516
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1043854516
- Entity type
- Individual (NPI-1)
- Name
- Charles Anzalone
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | FL | Yes |
Practice location
7050 W Palmetto Park Rd Ste 25Boca Raton, FL 33433-3462
Phone 561-837-2228
Mailing address
7050 W Palmetto Park Rd Ste 25Boca Raton, FL 33433-3462
Phone 561-837-2228
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