Provider Demographics
NPI:1932603784
Name:SPEXSEE LLC
Entity Type:Organization
Organization Name:SPEXSEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:GARIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-792-4384
Mailing Address - Street 1:17901 NW 5TH STREET
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029
Mailing Address - Country:US
Mailing Address - Phone:754-300-1985
Mailing Address - Fax:954-885-6572
Practice Address - Street 1:17901 NW 5TH STREET
Practice Address - Street 2:SUITE 204A
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029
Practice Address - Country:US
Practice Address - Phone:754-300-1985
Practice Address - Fax:954-885-6572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier