Douglas Reynolds Od Pa

NPI 1023164662 - Optometrist - 152W00000X

NPI Details
NPI 1023164662
Enumeration Date 01/26/2007
Last Updated 07/08/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLYDE DOUGLAS CLYDE
Position OWNER
Phone (850) 477-1499
Fax (850) 479-3359
Practice Location
460 E NINE MILE RD
PENSACOLA FL, 32514-1441, US
Phone (850) 477-1499
Fax (850) 479-3359
Business Location
460 E NINE MILE RD
PENSACOLA FL, 32514-1441, US
Phone (850) 477-1499
Fax (850) 479-3359
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC3828
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According to our database, Douglas Reynolds Od Pa NPI is 1023164662, taxonomy code is 152W00000X and license number is OPC3828, license state is located at Florida. Douglas Reynolds Od Pa physically located at 460 E Nine Mile Rd, Pensacola FL, 32514-1441. NPI Number 1033115704 has the healthcare provider type.

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1023164662 NPI number is provided on an as is basis without warranty of any kind. 1023164662 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Reynolds Od Pa are for informational purposes only.