BRENDA DEFORREST OD PA

ORLANDO, FL
NPI1477733780
Entity TypeOrganization
Authorized ContactBRENDA DEFORREST
President
407-298-8819
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: FL  FL2617)
Enumeration Date2007-11-05
Last Update Date2008-06-02
Business Address
BRENDA DEFORREST OD PA
4884 S KIRKMAN RD
ORLANDO, FL 32811-3641
Phone number: 407-289-8819
Mailing Address
BRENDA DEFORREST OD PA
4884 S KIRKMAN RD
ORLANDO, FL 32811-3641
Phone number: 407-289-8819
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