St George Od LLC

NPI #1174912794 in Boynton Beach, Florida

Provider Information

NPI Number: 1174912794
Entity Type: Organization
Organization Name: St George Od LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 20, 2015
Last Updated: Jan 20, 2015

Practice Location

Address: 5058 GREENWICH PRESERVE CT
City: Boynton Beach
State: Florida
ZIP Code: 33436-5802
Phone: (954) 624-5649

Authorized Official

Name: DR. RETA GUIRGUIS, O.D.
Title: OPTOMETRIST
Phone: (954) 624-5649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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