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Individual

LOUIS MARTIN LIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1050 SE MONTEREY RD, #104, STUART, FL 34994-4512
(772) 282-2020
(772) 220-9582
Mailing address
13774 CALLINGTON DR, WELLINGTON, FL 33414-8579
(561) 793-5556
(561) 793-9817

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4116
TX
152W00000X
Optometrist
Primary
OPC 2372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6201539
FL
Enumeration date
11/05/2005
Last updated
03/19/2014
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