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Individual

JAMES A PODSCHUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1935 STATE ROAD 436 STE 1001, WINTER PARK, FL 32792-2244
(407) 671-0960
(407) 677-6696
Mailing address
1935 STATE ROAD 436 STE 1001, WINTER PARK, FL 32792-2244
(407) 671-0960
(407) 677-6696

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FLOP0002303
FL
152W00000X
Optometrist
OPC2303
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078735300
FL
Enumeration date
10/12/2005
Last updated
02/05/2019
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