Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | DO 6821 | FL |
NPI | 1164876025 |
---|---|
Provider Name | Rosamarina Paumier |
First Address | Miami, FL 33126-6107 |
Second Address | Miami, FL 33126-6107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2016 |
Last Update Date | 18/04/2016 |