# M CHRISTINA MEMOLI OD PA

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

## Provider details

- **NPI number:** 1407254907
- **Authorized official:** DR. M CHRISTINA MEMOLI OD (OPTOMETRIST)
- **Authorized official phone:** (407) 252-8641

## Contact information

- **Practice address:** 27901 US 19 N, CLEARWATER, FL 33761
- **Practice address phone:** (727) 725-0708
- **Practice address fax:** (813) 316-8300
- **Mailing address:** 8001 S ORANGE BLOSSOM TRL STE 700, ORLANDO, FL 32809-9129
- **Mailing address phone:** (407) 855-5321
- **Mailing address fax:** (407) 855-5340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2959 | FL | Yes |

## Other

- **Enumeration date:** 12/15/2014
- **Last updated:** 09/01/2020