person
Mr. Fabian Roberto Bastidas, LDO
Optician in Stuart, Florida
NPI 1548491640

Fabian Roberto Bastidas is a Optician based in Stuart, FL and is specialized in Optician. Fabian Roberto Bastidas practices in Stuart, FL and has the professional credentials of LDO. The NPI Number for Fabian Roberto Bastidas is 1548491640 and holds a License No. DO3354 (Florida).

The current practice location address for Fabian Roberto Bastidas is 33 Se Ocean Blvd, Stuart, FL and can be reached out via phone at 772-221-8878 and via fax at 772-221-8878.

Location: 33 Se Ocean Blvd, Stuart, FL, 34994-2214
person
Provider Profile Details
NPI Number
1548491640
Provider Name
Fabian Roberto Bastidas
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
33 Se Ocean Blvd, Stuart, FL, 34994-2214
Phone Number
772-221-8878
Fax Number
772-221-8878
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33 Se Ocean Blvd
City
State
Zip
34994-2214
Phone Number
772-221-8878
Fax Number
772-221-8878
person
Provider Business Mailing Address Details
Address
33 Se Ocean Blvd
City
State
Zip
34994-2214
Phone Number
772-221-8878
Fax Number
772-221-8878
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO3354 (Florida)
Definition
Definition to come...
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