Douglas E. Radish O.D.

NPI 1053319335 - Optometrist - 152W00000X

NPI Details
NPI 1053319335
Gender Male
Enumeration Date 07/12/2005
Last Updated 10/22/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
UNIT 101
PUNTA GORDA FL, 33983-5272, US
Phone (941) 255-5776
Fax (941) 255-9105
Business Location
PUNTA GORDA FL, 33983-5206, US
Phone (941) 255-5776
Fax (941) 255-9105
Taxonomy Code 152W00000X
License State Florida
License Number OPC1796
Remove 1053319335 NPI Number

According to our database, Dr. Douglas E. Radish O.D. NPI is 1053319335, taxonomy code is 152W00000X and license number is OPC1796, license state is located at Florida. Douglas E. Radish O.D. physically located at 24420 Sandhill Blvd, Punta Gorda FL, 33983-5272. NPI Number Douglas E. Radish O.D. has the Individual type.

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1053319335 NPI number is provided on an as is basis without warranty of any kind. 1053319335 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas E. Radish O.D. are for informational purposes only.