Luc Emmanuel Kanicky O.D.

NPI 1043275175 - Optometrist - 152WL0500X

NPI Details
NPI 1043275175
Gender Male
Enumeration Date 04/20/2006
Last Updated 05/06/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
6911 PISTOL RANGE RD
SUITE 103B
TAMPA FL, 33635-6335, US
Phone (813) 925-3393
Fax (813) 925-3394
Business Location
6911 PISTOL RANGE RD
SUITE 103B
TAMPA FL, 33635-6335, US
Phone (813) 925-3393
Fax (813) 925-3394
Toxanomy
Taxonomy Code 152WL0500X
License State Florida
License Number OPC 003906
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According to our database, Luc Emmanuel Kanicky O.D. NPI is 1043275175, taxonomy code is 152WL0500X and license number is OPC 003906, license state is located at Florida. Luc Emmanuel Kanicky O.D. physically located at 6911 Pistol Range Rd, Tampa FL, 33635-6335. NPI Number Luc Emmanuel Kanicky O.D. has the Individual type.

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1043275175 NPI number is provided on an as is basis without warranty of any kind. 1043275175 is maintained by the National Plan & Provider Enumeration System. The contents of Luc Emmanuel Kanicky O.D. are for informational purposes only.