ESAAM EL-DEAN ISMAIL

WINTER HAVEN, FL
NPI1588728539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC2529)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
-- ESAAM EL-DEAN ISMAIL O.D.
410 CITI CTR
WINTER HAVEN, FL 33880-3425
Phone number: 863-297-5067
Mailing Address
-- ESAAM EL-DEAN ISMAIL O.D.
215 S GOODMAN AVE
LAKE ALFRED, FL 33850-3003
Phone number: 863-297-5067