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Organization
A. L. HARRELL,III, O.D., P.A.
Active
Organization
A. L. HARRELL,III, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT L. HARRELL III O.D. (PRESIDENT)
(561) 798-8282
Entity
Organization
Contact information
Practice address
11924 W FOREST HILL BLVD, 31, WELLINGTON, FL 33414-6256
(561) 798-8282
(561) 798-2840
Mailing address
11924 W FOREST HILL BLVD, 31, WELLINGTON, FL 33414-6256
(561) 798-8282
(561) 798-2840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP 1746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0776020002
DMERC
FL
05
—
078294701
—
FL
Enumeration date
10/26/2010
Last updated
05/10/2011
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