NPI 1134811086

Shanique C Falla, LDO

Practitioner Optician Davie, FL

Practice location

Address: 4301 S University Dr, Davie, FL 33328-3002
Phone: (954) 331-3616
Fax: (954) 473-5122

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence DO7450 (FL)

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Registry record

NPI: 1134811086
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2023
Record last updated: 22 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.