Manuel Angel Grova
Technician/Technologist, Optician in Hialeah, FL. Individual provider (NPI-1).
NPI number1386739068
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386739068
- Entity type
- Individual (NPI-1)
- Name
- Mr. Manuel Angel Grova
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | DO5339 | FL | Yes |
Practice location
1558 W 68th StHialeah, FL 33014-3810
Phone 305-556-1308
Mailing address
1558 W 68th StHialeah, FL 33014-3810
Phone 305-556-1308
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