JAMES REVENNAUGH

BROOKSVILLE, FL
NPI1124251905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC 4450)
Enumeration Date2009-08-27
Last Update Date2010-06-16
Business Address
-- JAMES REVENNAUGH OD
86 PONCE DE LEON BLVD
BROOKSVILLE, FL 34601-2818
Phone number: 352-796-2141
Mailing Address
-- JAMES REVENNAUGH OD
14073 SNOW MEMORIAL HWY
BROOKSVILLE, FL 34601-4466
Phone number: