MEDICARE: MRS. MICHELE L BOBROW-SILVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	1560	FL

General Provider Information

NPI Number	:	1053503813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELE L BOBROW-SILVER

Provider Business Mailing Address
First Line	:	1730 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1531
Country	:	US
Telephone Number	:	954-574-0755
Fax Number	:	954-574-9198

Provider Business Practice Location Address
First Line	:	1730 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1531
Country	:	US
Telephone Number	:	954-574-0755
Fax Number	:	954-574-9198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	08/15/2007

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