Grover, Randy

Grover, Randy is an individual health care provider with primary practice located at 9300 Nw 77Th Ave , Hialeah Gardens FL 33140. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grover, Randy can be contacted via phone (305) 828-8393.

Contact Information

Primary practice address
9300 Nw 77Th Ave Hialeah Gardens FL 33140
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 3543 Florida

Profile Details

NPI number 1871564575
LBN Legal business name Grover, Randy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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