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1477733780
BRENDA DEFORREST OD PA
ORLANDO, FL
NPI
1477733780
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Entity Type
Organization
Authorized Contact
BRENDA DEFORREST
President
407-298-8819
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: FL FL2617)
Enumeration Date
2007-11-05
Last Update Date
2008-06-02
Business Address
BRENDA DEFORREST OD PA
4884 S KIRKMAN RD
ORLANDO, FL 32811-3641
Phone number: 407-289-8819
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Mailing Address
BRENDA DEFORREST OD PA
4884 S KIRKMAN RD
ORLANDO, FL 32811-3641
Phone number: 407-289-8819
Copy
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