# ANNA-KAY TENN OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083062798
- **Authorized official:** DR. ANNA-KAY ALICIA TENN OD (OPTOMETRIST/OWNER)
- **Authorized official phone:** (954) 805-1811

## Contact information

- **Practice address:** 6452 SHIMMERING SHORES LN, SAINT CLOUD, FL 34771-9442
- **Practice address phone:** (954) 805-1811
- **Mailing address:** 6452 SHIMMERING SHORES LN, SAINT CLOUD, FL 34771-9442
- **Mailing address phone:** (954) 805-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4179 | FL | Yes |

## Other

- **Enumeration date:** 06/03/2016
- **Last updated:** 02/21/2024