Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC1341 | FL |
NPI | 1003922683 |
---|---|
Provider Name | Dr. Stephen J Venokur |
First Address | Coral Springs, FL 33067 |
Second Address | Miami, FL 33138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 17/04/2008 |