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Organization
JOHN J MERTZLUFFT OD PA
Active
Organization
JOHN J MERTZLUFFT OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH MERTZLUFFT OD (PRESIDENT DOCTOR)
(813) 814-2020
Entity
Organization
Contact information
Practice address
12037 WHITMARSH LN, TAMPA, FL 33626-1737
(813) 814-2020
Mailing address
12037 WHITMARSH LANE, TAMPA, FL 33626
(813) 814-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24794
SPECTERA
FL
01
—
56106
DAVIS VISION
—
05
—
620845200
—
FL
01
—
8138142020
VSP
—
Enumeration date
03/09/2006
Last updated
10/14/2009
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