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Smith Blanc, O.D. Valid NPI

Individual provider · Optometrist · Hialeah, FL

NPI
1053644666
Type
Individual (Type 1)
Primary specialty
Optometrist
Specialty group
Eye and Vision Services Providers
Taxonomy code
152W00000X
License number
OPC4425 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2009-09-14
Last updated
2011-07-01
Practice location
18610 Nw 67th Ave
Hialeah, FL 33015-2406
(305) 474-0463

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