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1174308670
ANTHONY DAVID RECORD
BROOKSVILLE, FL
NPI
1174308670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: FL DO2281)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
Mr. ANTHONY DAVID RECORD LDO
13300 CORTEZ BOULEVARD
BROOKSVILLE, FL 34613
Phone number: 352-597-1577
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Mailing Address
Mr. ANTHONY DAVID RECORD LDO
PO BOX 5445
SPRING HILL, FL 34611-5445
Phone number: 352-848-4222
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