Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC2423 | FL |
NPI | 1003995028 |
---|---|
Provider Name | Dr. Ofelia D. Sanchez |
First Address | Hialeah, FL 33016-5595 |
Second Address | Hialeah, FL 33016-5595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 11/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
078810400 | (05) | FL |
U19736 | (02) | FL |