Provider Demographics
NPI:1780876755
Name:ADINA SETREN O.D., P.A.
Entity type:Organization
Organization Name:ADINA SETREN O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADINA
Authorized Official - Middle Name:SETREN
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:786-586-9404
Mailing Address - Street 1:6535 ALLISON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4508
Mailing Address - Country:US
Mailing Address - Phone:786-586-9404
Mailing Address - Fax:
Practice Address - Street 1:11865 SW 26TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-2400
Practice Address - Country:US
Practice Address - Phone:305-552-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3743152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty