2020 Florida, PA
Optometrist in Plantation, FL. Organization (NPI-2).
NPI number1710678131
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1710678131
- Entity type
- Organization (NPI-2)
- Legal business name
- 2020 Florida, PA
- Organization subpart
- No
- Enumeration date
- May 17, 2023
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1181 Nw 101st AvePlantation, FL 33322-6514
Phone 617-356-8117
Mailing address
29 Garden StEverett, MA 02149-4510
Authorized official
Francine Verblow
President
6173568117
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