DIMITRI GARCON


Address: 7261 Sheridan St Ste 305, Hollywood, FL 33024-2709
Phone: 7544008932

DIMITRI GARCON (NPI# 1730381708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730381708
Entity Type Individual
Full Name DIMITRI GARCON
Credential DO
Practice Address 7261 Sheridan St Ste 305
Hollywood
FL 33024-2709
Practice Telephone 7544008932
Practice Fax Number 7544008923
Mailing Telephone 7544008932
Mailing Fax Number 9544008923
Enumeration Date 2007-06-01
Last Update Date 2020-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156FC0800X Technician/Technologist
Specialization: Contact Lens
DO5239 FL Eye and Vision Services Providers
Y 156FX1800X Technician/Technologist
Specialization: Optician
DO5239 FL Eye and Vision Services Providers

Office Location

Street Address 7261 SHERIDAN ST STE 305
City HOLLYWOOD
State FL
Zip Code 33024-2709

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NPI Name Taxonomy Address Enumeration
1255965950 Delcin Health Center Family Medicine 7261 Sheridan St Ste 305, Hollywood, FL 33024-2709 2020-03-03

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1306115027 America's Best Contacts and Eyeglasses Technician/Technologist 5311 Sheridan St, Hollywood, FL 33021-3342 2011-12-27
1467502658 Optical Impressions Technician/Technologist 2605 N Hiatus Rd, Hollywood, FL 33026-1303 2007-01-11
1881232106 John Garcia Technician/Technologist 6618 Stirling Rd, Hollywood, FL 33024-1954 2019-12-17
1134654825 Stark Vision Inc. Technician/Technologist 2914 Oakwood Blvd, Hollywood, FL 33020-7122 2017-05-01
1962885756 Petersen & Petrescu Assoc.llc Technician/Technologist 3800 S Ocean Dr, G-9, Hollywood, FL 33019-2927 2015-06-30

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Competitor

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City HOLLYWOOD
Zip Code 33024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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