Provider Demographics
NPI:1043959687
Name:ELMUZA-NODA, DANITZA (OPTICAL)
Entity Type:Individual
Prefix:
First Name:DANITZA
Middle Name:
Last Name:ELMUZA-NODA
Suffix:
Gender:F
Credentials:OPTICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 SW 8TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4851
Mailing Address - Country:US
Mailing Address - Phone:786-672-2103
Mailing Address - Fax:833-454-0085
Practice Address - Street 1:6601 SW 8TH ST STE 6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4851
Practice Address - Country:US
Practice Address - Phone:786-672-2103
Practice Address - Fax:833-454-0085
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician