Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | DO1757 | FL |
NPI | 1013089374 |
---|---|
Provider Name | Mr. Alexander Plana |
First Address | Hialeah, FL 33016-5530 |
Second Address | Hialeah, FL 33016-5530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |