Mayden Borrego, O.D.
Optometrist in Plantation, FL. Individual provider (NPI-1).
NPI number1396078796
StatusActive
Last updated in NPPESSep 16, 2009
Details
- NPI
- 1396078796
- Entity type
- Individual (NPI-1)
- Name
- Mayden Borrego
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2009
- Last updated
- Sep 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC 4502 | FL | Yes |
Practice location
1800 Sw 69th AvePlantation, FL 33317-5027
Phone 305-496-1904
Mailing address
1800 Sw 69th AvePlantation, FL 33317-5027
Phone 305-496-1904
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