Daniel Max & Marc Andrea LLC
Optometrist in Jacksonville, FL. Organization (NPI-2).
NPI number1982113155
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1982113155
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel Max & Marc Andrea LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2017
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Stanton Optical (Doing Business As)
Practice location
790 Skymarks Dr Ste 107Jacksonville, FL 32218-7267
Phone 561-275-2020 · Fax 561-275-2030
Mailing address
1615 S Congress Ave Ste 105Delray Beach, FL 33445-6326
Phone 561-208-8464 · Fax 561-275-2030
Authorized official
Kirsten Pipher Cantrell
Manager Of Health Services
5612088464
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