CHAUNTEL DA SILVA OD INC
Optometry at 4 Ln, Hialeah, FL

License number
Florida OPC4307
Category
Optometry
Type
Optometrist
Owner
Name: CHAUNTEL DA SILVA OD
Title: OPTOMETRIST
Phone: (305) 815-9755
Address
Address
7088 W 4Th Ln, Hialeah, FL 33014
National Provider ID: 1356791362
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHAUNTEL DA SILVA OD, INC

7088 W 4 Ln, Hialeah, FL 33014

Status:
Inactive
Industry:
Optometrist's Office
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Aug 13, 2009
Inactive since:
Oct 22, 2012
State ID:
P09000068972
Business type:
Florida Profit Corporation
President, Director:
Chauntel Silva (President, Director), 7088 W 4 Ln, Hialeah, FL 33014 (Physical)
Agent:
Da Silva, Chauntel,7088 W 4 Ln, Hialeah, FL 33014 (Physical)
EIN:
27-0756541

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