Daniel Max & Marcandrea, LLC

NPI #1295201580 in Desoto, Texas

Provider Information

NPI Number
1295201580
Entity Type
Organization
Organization Name
Daniel Max & Marcandrea, LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 15, 2018
Last Updated
Feb 19, 2021

Practice Location

Address
1309 E. PLEASANT RUN RD
City
Desoto
State
Texas
ZIP Code
75115
Phone
(561) 275-2020

Authorized Official

Name
JACKIE BENNETT
Title
CREDENTIALING MANAGER
Phone
(561) 612-4531

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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