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Organization
WILLARD C PEARCE JR OD PA
Active
Organization
WILLARD C PEARCE JR OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD CAIL PEARCE JR. OD (PRESIDENT)
(863) 676-2020
Entity
Organization
Contact information
Practice address
254 E STUART AVE, LAKE WALES, FL 33853-5720
(863) 676-2020
(863) 676-4500
Mailing address
254 E STUART AVE, PO BOX 3806, LAKE WALES, FL 33853-5720
(863) 676-2020
(863) 676-4500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1299
FL
Other
Enumeration date
11/07/2005
Last updated
09/10/2007
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