Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1164775680 |
---|---|
Provider Name | Mr. Marc Jacques Barbier |
First Address | Coral Gables, FL 33134-2049 |
Second Address | Coral Gables, FL 33134-2049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2012 |
Last Update Date | 08/02/2013 |