Provider Demographics
NPI:1831524685
Name:UNLIMITED VISION LLC
Entity type:Organization
Organization Name:UNLIMITED VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASSAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-770-7059
Mailing Address - Street 1:12865 SW 31ST CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5333
Mailing Address - Country:US
Mailing Address - Phone:954-770-7059
Mailing Address - Fax:
Practice Address - Street 1:12656 SW 54TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-5478
Practice Address - Country:US
Practice Address - Phone:954-770-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health