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DAMARIS BENITEZ-KREYMBORG O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1275947772

Individual Registrant:
 DAMARIS  BENITEZ-KREYMBORG O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5786 SW 8TH ST  WEST MIAMI, FL 33144-5034 US
Tel: 786-253-5922  Fax: --

Contact information for business:
5509 SW 2ND ST  CORAL GABLES, FL 33134-1017 US
Tel: 305-262-7273  Fax: --

Registration Information:
NPI: 1275947772
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
FLOPC5159
N152WC0802XEye and Vision Services Providers
Optometrist
IL046.010782
N152WL0500XEye and Vision Services Providers
Optometrist
IL046.010782

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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