Daniel Max & Marcandrea, LLC
Eyewear Supplier (Equipment, not the service) in Davie, FL. Organization (NPI-2).
NPI number1265044622
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1265044622
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel Max & Marcandrea, LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- My Eyelab (Doing Business As)
Practice location
4591 S University DrDavie, FL 33328-3838
Phone 754-224-3043 · Fax 561-828-8367
Mailing address
1615 S Congress Ave Ste 105Delray Beach, FL 33445-6326
Phone 561-208-8464 · Fax 561-828-8367
Authorized official
Kirsten Pipher Cantrell
Manager Of Health Services
5612088464
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