Provider Demographics
NPI:1992859177
Name:DALMAZZO, AMARELLA ELIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:AMARELLA
Middle Name:ELIZABETH
Last Name:DALMAZZO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14551 SW 33RD CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3728
Mailing Address - Country:US
Mailing Address - Phone:954-478-1905
Mailing Address - Fax:954-704-1015
Practice Address - Street 1:18600 NW 87TH AVENUE
Practice Address - Street 2:SUITE # 124
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33015
Practice Address - Country:US
Practice Address - Phone:954-478-1905
Practice Address - Fax:954-704-1015
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4089152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist