NPI 1245663640

Carlos Julio Izquierdo, LDO

Practitioner Optician Coral Gables, FL

Practice location

Address: 3824 SW 8th St, Coral Gables, FL 33134-3002
Phone: (305) 961-1060
Mailing address: 3150 SW 38th Ave 1302, Coral Gables, FL 33146-1531

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence DO6397 (FL)

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Registry record

NPI: 1245663640
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2013
Record last updated: 18 Mar 2019

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.