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1518135326
VISION SOURCE OF EAST BROWARD LLC
FORT LAUDERDALE, FL
NPI
1518135326
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Entity Type
Organization
Authorized Contact
JON STEPHEN JACOBS
Doctor
954-771-9120
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC951)
Enumeration Date
2008-02-14
Last Update Date
2018-06-28
Business Address
VISION SOURCE OF EAST BROWARD LLC
2419 E COMMERCIAL BLVD STE 100
FORT LAUDERDALE, FL 33308
Phone number: 954-771-9120
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Mailing Address
VISION SOURCE OF EAST BROWARD LLC
2419 E COMMERCIAL BLVD STE 100
FORT LAUDERDALE, FL 33308-4042
Phone number: 954-771-9120
Copy
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