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1366675043
FREDY A OTALORA
SUNRISE, FL
NPI
1366675043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC4484)
Enumeration Date
2009-08-28
Last Update Date
2021-03-23
Business Address
FREDY A OTALORA OD
8051 W SUNRISE BLVD
SUNRISE, FL 33322
Phone number: 954-474-2900
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Mailing Address
FREDY A OTALORA OD
PO BOX 39209
FT LAUDERDALE, FL 33339
Phone number: 954-851-9966
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