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Organization
DR HANSON & ASSOCIATES PA
Active
Organization
DR HANSON & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL LINN HANSON O.D. (PRESIDENT)
(239) 936-2121
Entity
Organization
Contact information
Practice address
4600 SUMMERLIN RD STE C4, FORT MYERS, FL 33919-3003
(239) 936-2121
Mailing address
4600 SUMMERLIN RD STE C4, FORT MYERS, FL 33919-3003
(239) 936-2121
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC3118
FL
Other
Enumeration date
03/04/2010
Last updated
09/08/2010
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