Yagudaev, Marina

Yagudaev, Marina is an individual health care provider with primary practice located at 17100 Collins Ave #112 , Sunny Isles FL 33160-3675. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Yagudaev, Marina can be contacted via phone (305) 917-1037.

Contact Information

Primary practice address
17100 Collins Ave #112 Sunny Isles FL 33160-3675
Phone: (305) 917-1037
Fax: (305) 917-1337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3753 Florida

Profile Details

NPI number 1447209887
LBN Legal business name Yagudaev, Marina
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 10th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447209887 NPPES
Florida Other OPC3753 OPTOMETRIST LICENSE

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