MEDALLION ASSOCIATES, LLC
Optometry at Federal Hwy, Fort Lauderdale, FL

License number
Florida OPC3236
Category
Optometry
Type
Optometrist
Owner
Name: DR. NORMAN HERSKOVICH O.D.
Title: MANAGER
Phone: (954) 491-6663
Address
Address
5200 N Federal Hwy SUITE 4, Fort Lauderdale, FL 33308
National Provider ID: 1619398880
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MEDALLION ASSOCIATES, LLC

5200 N Federal Hwy SUITE 4, Ft Lauderdale, FL 33308

Registration:
Aug 6, 2013
State ID:
L13000110518
Business type:
Florida Limited Liability Company
Managing Member:
Norman L Herskovich (Managing Member), 5200 N Federal Hwy - SUITE 4, Ft Lauderdale, FL 33308 (Physical)
Agent:
Bart Houston,1401 E Broward Blvd SUITE 206, Ft Lauderdale, FL 33301 (Physical)
EIN:
46-3466429

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