Josealix Daverman Od Pa

LBN: Josealix Daverman Od Pa
Josealix Daverman Od Pa is an health care organization with primary practice located at 5920 W Sample Rd # 105-7 , Coral Springs FL 33067-3251. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Josealix Daverman Od Pa can be contacted via phone (954) 249-7548, or through Daverman, Josealix via phone (954) 249-7548.

Contact Information

Primary practice address
5920 W Sample Rd # 105-7 Coral Springs FL 33067-3251
Phone: (954) 249-7548
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daverman, Josealix Doctor of Optometry (OD)
Phone: (954) 249-7548

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3885

Profile Details

NPI number 1649576059
LBN Legal business name Josealix Daverman Od Pa
DBA Doing business as
Authorized official Daverman, Josealix Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2011
Last updated Feb 2nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649576059 NPPES
Other 9195136 AETNA
Other 2775155 AETNA
Other 36141 AETNA
Other FL3885 AETNA

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