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Organization
WH FL OPTOMETRY PLLC
Active
Organization
WH FL OPTOMETRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA MOHEEPUTH (OWNER)
(479) 204-1258
Entity
Organization
Contact information
Practice address
1580 BRANAN FIELD RD, MIDDLEBURG, FL 32068-8427
(904) 406-6303
Mailing address
702 SW 8TH ST # MS 0445, BENTONVILLE, AR 72716-0445
(479) 204-1258
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
08/24/2021
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