# JAMES CANCELLARI, OD, PA

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

## Provider details

- **NPI number:** 1821390469
- **Authorized official:** JAMES CANCELLARI O.D. (PRESIDENT)
- **Authorized official phone:** (813) 920-3712

## Contact information

- **Practice address:** 7802 CITRUS PARK TOWN CENTER MALL, TAMPA, FL 33625-3178
- **Practice address phone:** (813) 920-3712
- **Practice address fax:** (813) 920-8531
- **Mailing address:** 7802 CITRUS PARK TOWN CENTER MALL, TAMPA, FL 33625-3178
- **Mailing address phone:** (813) 920-3712
- **Mailing address fax:** (813) 920-8531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1461 | FL | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078197500 | — | FL |