Individual
DR. LAURA ANN VIZZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1180 NIKKI VIEW DR, BRANDON, FL 33511-4868
(813) 651-1400
(813) 651-0697
Mailing address
1180 NIKKI VIEW DR, BRANDON, FL 33511-4868
(813) 651-1400
(813) 651-0697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293872
AVMED
FL
05
—
620792800
—
FL
Enumeration date
10/24/2005
Last updated
04/03/2009
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