Doctor Phan Eye Care Llc | |
19501 Nw 27th Ave, Miami Gardens, FL 33056-2521 | |
(305) 974-2588 | |
Not Available |
Full Name | Doctor Phan Eye Care Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 19501 Nw 27th Ave, Miami Gardens, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184012668 | NPI | - | NPPES |
014191100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC3501 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Doctor Phan Eye Care Llc 19501 Nw 27th Ave, Miami Gardens, FL 33056-2521 Ph: (305) 974-2588 | Doctor Phan Eye Care Llc 19501 Nw 27th Ave, Miami Gardens, FL 33056-2521 Ph: (305) 974-2588 |
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