Odette Marie Gayoso, LDO
Technician/Technologist, Optician in Davie, FL. Individual provider (NPI-1).
NPI number1568155455
StatusActive
Last updated in NPPESMay 29, 2023
Details
- NPI
- 1568155455
- Entity type
- Individual (NPI-1)
- Name
- Odette Marie Gayoso
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2023
- Certification date
- May 28, 2023
- Last updated
- May 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | fl4465 | FL | Yes |
Practice location
4301 S University DrDavie, FL 33328-3002
Phone 954-331-3616 · Fax 954-473-5122
Mailing address
4301 S University DrDavie, FL 33328-3002
Phone 954-331-3616 · Fax 954-473-5122
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