| |
6745 N Church Ave, Mulberry, FL 33860-2080 | |
(863) 648-0222 | |
(863) 648-0200 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 6745 N Church Ave, Mulberry, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346556529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC701 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 6216, Lakeland, FL 33807-6216 Ph: (863) 648-0222 | 6745 N Church Ave, Mulberry, FL 33860-2080 Ph: (863) 648-0222 |
Dr. Suzanne Kathleen Smith, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4485 Meadowood Dr, Mulberry, FL 33860 Phone: 863-647-4543 |