Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 1560 | FL |
NPI | 1053503813 |
---|---|
Provider Name | Mrs. Michele L Bobrow-Silver |
First Address | Deerfield Beach, FL 33442-1531 |
Second Address | Deerfield Beach, FL 33442-1531 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 15/08/2007 |