Individual provider · NPI-1

Carlos Julio Izquierdo, LDO

Technician/Technologist, Optician · Coral Gables, FL

NPI number1245663640
StatusActive
Last updated in NPPESMar 18, 2019

Details

NPI
1245663640
Entity type
Individual (NPI-1)
Name
Carlos Julio Izquierdo
Credential
LDO
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 21, 2013
Last updated
Mar 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO6397FLYes

Practice location

3824 Sw 8th St
Coral Gables, FL 33134-3002

Phone 305-961-1060

Mailing address

3150 Sw 38th Ave
1302
Coral Gables, FL 33146-1531

Phone 786-554-8660

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