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Individual
ANTHONY FRANK FAVALE II
Active
Individual
ANTHONY FRANK FAVALE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7684423
CIGNA
FL
Enumeration date
03/01/2006
Last updated
03/10/2023
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