# LLOYD FIRESTONE

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

## Provider details

- **NPI number:** 1699943431
- **Authorized official:** DR. LLOYD FIRESTONE O.D. (OWNER)
- **Authorized official phone:** (813) 961-6702

## Contact information

- **Practice address:** 14958 N FLORIDA AVE, TAMPA, FL 33613-1626
- **Practice address phone:** (813) 961-6702
- **Practice address fax:** (813) 968-6994
- **Mailing address:** 14958 N FLORIDA AVE, TAMPA, FL 33613-1626
- **Mailing address phone:** (813) 961-6702
- **Mailing address fax:** (813) 968-6994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 817 | FL | Yes |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 03/14/2008