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Organization
SHAUN J. SMALL O.D, P.A
Active
Organization
SHAUN J. SMALL O.D, P.A
Active
Other names
East Oak Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN JEROME SMALL O.D. (PRESIDENT)
(813) 443-5660
Entity
Organization
Contact information
Practice address
407 E OAK AVE, TAMPA, FL 33602-2712
(813) 443-5660
(813) 443-5661
Mailing address
407 E OAK AVE, TAMPA, FL 33602-2712
(813) 443-5660
(813) 443-5661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC0003984
FL
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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