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Organization
WAYNE P TEPPER OD PA
Active
Organization
WAYNE P TEPPER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRSTEN NUGENT (MEDICAL BILLING)
(561) 392-8383
Entity
Organization
Contact information
Practice address
333 PLAZA REAL, BOCA RATON, FL 33432-3938
(561) 392-8383
Mailing address
333 PLAZA REAL, BOCA RATON, FL 33432-3938
(561) 392-8383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1118
FL
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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