EDWIN DETWEILER III

BRADENTON, FL
NPI1154303923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC4016)
Enumeration Date2005-11-17
Last Update Date2019-03-12
Business Address
EDWIN DETWEILER III O.D.
6002 POINTE WEST BLVD
BRADENTON, FL 34209-5531
Phone number: 941-792-2020
Mailing Address
EDWIN DETWEILER III O.D.
6002 POINTE WEST BLVD
BRADENTON, FL 34209-5531
Phone number: 941-792-2020
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