MILES GLASSER, O.D., P.A.
Ambulatory Health at White Hall Dr, Fort Lauderdale, FL

License number
Florida OPC 1273
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. MILES GLASSER O.D.
Title: PRESIDENT
Phone: (954) 472-7012
Address
Address
1705 White Hall Dr, Fort Lauderdale, FL 33324
National Provider ID: 1326342270
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MILES GLASSER, O.D., PA

1705 Whitehall Dr #204, Fort Lauderdale, FL 33324

Registration:
Sep 29, 1980
State ID:
689437
Business type:
Florida Profit Corporation
President, Directors:
Miles Glasser (Od , President, Principal), 1705 Whitehall Dr, Fort Lauderdale, FL 33324 (Physical),Miles O. D Glasser (President, Director)
Agent:
Glasser, Miles., O.d., Pa,1705 Whitehall Dr, Fort Lauderdale, FL 33324 (Physical)
EIN:
59-2021926

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