Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | DO1081 | FL |
NPI | 1013067990 |
---|---|
Provider Name | Marina Isabel Del Amo |
First Address | Coral Gables, FL 33134-2267 |
Second Address | Coral Gables, FL 33134-2267 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |