Provider Demographics
NPI:1669580775
Name:DAUBER, GALINA (OD)
Entity type:Individual
Prefix:DR
First Name:GALINA
Middle Name:
Last Name:DAUBER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:GALINA
Other - Middle Name:
Other - Last Name:KARNAUKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2840 SW 75TH WAY
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7352 NW 34TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1266
Practice Address - Country:US
Practice Address - Phone:305-418-2025
Practice Address - Fax:305-418-9882
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2125152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOPC2125OtherFL OPTOMETRIC LICENSE #