FAMILY VISION ASSOCIATES, P.A.
Optometry at Prosperity Farms Rd, West Palm Beach, FL

License number
Florida OPC002181
Category
Optometry
Type
Optometrist
Owner
Name: DR. MICHAEL B HAUGEN O.D.
Title: PRESIDENT
Phone: (561) 627-1114
Address
Address
11380 Prosperity Farms Rd SUITE 119, West Palm Beach, FL 33410
National Provider ID: 1043478704
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FAMILY VISION ASSOCIATES, PA

11380 Prosperity Farms Rd SUITE 119, Palm Beach Gardens, FL 33410

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Sep 3, 1981
Inactive since:
Oct 6, 2012
State ID:
F43437
Business type:
Florida Profit Corporation
Director:
Michael B. Haugen (Director), 11380 Prosperity Rd #119, Palm Beach Gardens, FL 33410 (Physical)
Agent:
Haugen, Michael,11380 Prosperity Farms Rd SUITE 119, Palm Beach Gardens, FL 33410 (Physical)
EIN:
592128436

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