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Philip R Sidran, Od, Pa
Eyewear Supplier in Miami, Florida
NPI 1881847242

Philip R Sidran, Od, Pa is a Eyewear Supplier based in Miami, FL. Philip R Sidran, Od, Pa practices in Miami, FL. The NPI Number for Philip R Sidran, Od, Pa is 1881847242 and holds a License No. OPC 804 (Florida).

The current practice location address for Philip R Sidran, Od, Pa is 7971 Sw 122Nd St, Miami, FL and can be reached out via phone at 305-252-7979 and via fax at 305-235-0201.

Location: 7971 Sw 122Nd St, Miami, FL, 33156-5228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881847242
Provider Name
Philip R Sidran, Od, Pa
Credential
Provider Entity Type
Organization
Address
7971 Sw 122Nd St, Miami, FL, 33156-5228
Phone Number
305-252-7979
Fax Number
305-235-0201
Provider Enumeration Date
10/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084036000 05 FL
institution
Provider Business Practice Location Address Details
Address
7971 Sw 122Nd St
City
Miami
State
Florida
Zip
33156-5228
Phone Number
305-252-7979
Fax Number
305-235-0201
person
Provider Business Mailing Address Details
Address
7971 Sw 122Nd St
City
Miami
State
Florida
Zip
33156-5228
Phone Number
305-252-7979
Fax Number
305-235-0201
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
OPC 804 (Florida)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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