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Organization
FULL SPECTRUM FAMILY VISION CARE PA
Active
Organization
FULL SPECTRUM FAMILY VISION CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER L TRAPHEAGEN OD (OWNER/PRESIDENT)
(239) 573-3937
Entity
Organization
Contact information
Practice address
217 DEL PRADO BLVD S STE 101, CAPE CORAL, FL 33990-1743
(239) 573-3937
(239) 573-0263
Mailing address
217 DEL PRADO BLVD S STE 101, CAPE CORAL, FL 33990-1743
(239) 573-3937
(239) 573-0263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3636
FL
332B00000X
Durable Medical Equipment & Medical Supplies
OPC3636
FL
Other
Enumeration date
04/09/2008
Last updated
05/26/2020
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