Pomella, Keri Marie
Pomella, Keri Marie is an sole proprietor health care provider with primary practice located at 1550 W 84Th St Ste 14 , Hialeah FL 33014-3368. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pomella, Keri Marie can be contacted via phone (305) 556-6946.Contact Information
Primary practice address
1550 W 84Th St Ste 14
Hialeah FL 33014-3368
Phone: (305) 556-6946
Fax: (305) 602-8153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3040 | Florida |
Profile Details
| NPI number | 1316978364 |
|---|---|
| LBN Legal business name | Pomella, Keri Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Apr 24th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316978364 | NPPES |
| Florida | MEDICAID | 620495300 |
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