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Individual
TIMOTHY A SHOFF
Active
Individual
TIMOTHY A SHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC005964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC005964
FLORIDA BOARD OF OPTOMETRY
FL
Enumeration date
06/08/2021
Last updated
07/21/2021
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