PHILIP R SIDRAN, OD, PA
Suppliers at 122 St, Miami, FL

License number
Florida OPC 804
Category
Suppliers
Type
Eyewear Supplier (Equipment, not the service)
Owner
Name: DR. PHILIP R SIDRAN OD
Title: PRESIDENT OWNER OPTOMETRIST
Phone: (305) 252-7979
Address
Address
7971 SW 122Nd St, Miami, FL 33156
National Provider ID: 1881847242
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILIP R. SIDRAN, O.D., PA

Miami, FL

Registration:
Jul 19, 1991
Addresses:
7971 SW 122, Miami, FL 33156 (Physical)
7971 SW 122 St, Miami, FL 33156
State ID:
S67557
Business type:
Florida Profit Corporation
Directors:
Sidran, Philip R, Dr, 7971 SW 122, Miami, FL 33156 (Physical),Philip R. Sidran (Director)
Agent:
Philip Sidran,7971 SW 122, Miami, FL 33156 (Physical)
EIN:
65-0271040

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