Basic Information
| Provider Information | |||||||||
| NPI: | 1780876755 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADINA SETREN O.D., P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6535 ALLISON RD | ||||||||
| Address2: | |||||||||
| City: | MIAMI BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331414508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7865869404 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11865 SW 26TH ST | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331752400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055529100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2007 | ||||||||
| LastUpdateDate: | 08/14/2007 | ||||||||
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| AuthorizedOfficialLastName: | GOULD | ||||||||
| AuthorizedOfficialFirstName: | ADINA | ||||||||
| AuthorizedOfficialMiddleName: | SETREN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7865869404 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | O.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OPC 3743 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.