THARA ATIYYA BACCHUS

CLERMONT, FL
NPI1093917460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC4111)
Enumeration Date2007-06-05
Last Update Date2007-07-08
Business Address
Dr. THARA ATIYYA BACCHUS O.D.
1450 JOHNS LAKE ROAD
CLERMONT, FL 34711
Phone number: 352-243-5652
Mailing Address
Dr. THARA ATIYYA BACCHUS O.D.
725 TRANQUIL TRAIL
WINTER GARDEN, FL 34787
Phone number: 407-765-3069
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