Organization · NPI-2

Daniel Max & Marc Andrea LLC

Eyewear Supplier (Equipment, not the service) · Hialeah, FL

NPI number1184050593
StatusActive
Last updated in NPPESAug 16, 2023

Details

NPI
1184050593
Entity type
Organization (NPI-2)
Legal business name
Daniel Max & Marc Andrea LLC
Organization subpart
No
Enumeration date
Sep 17, 2013
Certification date
Aug 16, 2023
Last updated
Aug 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Eyelab (Doing Business As)
  • My Eyelab (Doing Business As)

Practice location

1305 W 49th St
Hialeah, FL 33012-3221

Phone 786-501-7017 · Fax 561-828-8367

Mailing address

1615 S Congress Ave Ste 105
Delray Beach, FL 33445-6326

Phone 561-208-8464 · Fax 561-275-2030

Authorized official

Kirsten Pipher Cantrell
Manager Of Health Services
5612088464

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