Ec Boutique Florida Corp
Eyewear Supplier (Equipment, not the service) in Sunrise, FL. Organization (NPI-2).
NPI number1982394615
StatusActive
Last updated in NPPESMay 8, 2023
Details
- NPI
- 1982394615
- Entity type
- Organization (NPI-2)
- Legal business name
- Ec Boutique Florida Corp
- Organization subpart
- No
- Enumeration date
- May 8, 2023
- Certification date
- Apr 26, 2023
- Last updated
- May 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
12801 W Sunrise Blvd Ste 259Sunrise, FL 33323-4002
Phone 787-998-4514
Mailing address
138 Ave Winston ChurhillPmb 674
San Juan, PR 00926
Phone 954-600-9002
Authorized official
Lizzette Irizarry
Treasure
9545448878
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