Mawji O.D., LLC
Optometrist in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1982169652
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1982169652
- Entity type
- Organization (NPI-2)
- Legal business name
- Mawji O.D., LLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
19421 Sheridan StFort Lauderdale, FL 33332-1653
Phone 954-258-3228
Mailing address
19421 Sheridan StFort Lauderdale, FL 33332-1653
Phone 954-258-3228
Authorized official
Shirin Mawji-Ali
Doctor Of Optometry
9542583228
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