Organization · Type 2 NPI

Prison Rehabilitative Industries Diversified Enterprises, Inc

Eyewear Supplier · Fort Lauderdale, FL

NPI number 1659531309 Active

Practice location

20421 Sheridan St
Fort Lauderdale, FL 33332-2300

Fax (813) 890-2103

Mailing address

12425 28th St N, Suite 300
St. Petersburg, FL 33716-1844

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XS. 2220 (OH)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1659531309

Prison Rehabilitative Industries Diversified Enterprises, Inc's National Provider Identifier is 1659531309, issued on Jun 16, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 16, 2008.