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Merryl S Koplo Od PA

Eyewear Supplier (Equipment, not the service) in Plantation, FL. Organization (NPI-2).

NPI number1669641577
StatusActive
Last updated in NPPESOct 3, 2013

Details

NPI
1669641577
Entity type
Organization (NPI-2)
Legal business name
Merryl S Koplo Od PA
Organization subpart
No
Enumeration date
Feb 25, 2008
Last updated
Oct 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)FL3131FLYes

Other names

  • Koplo Eye Center (Doing Business As)

Practice location

1858 N University Dr
Plantation, FL 33322-4117

Phone 954-473-6860 · Fax 954-473-8660

Mailing address

1858 N University Dr
Plantation, FL 33322-4117

Phone 954-473-6860 · Fax 954-473-8660

Authorized official

Merryl S Koplo
President
9544736860

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