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Individual

DR. TAMARA LEE MAULE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
8903 GLADES RD, BAY A 1, BOCA RATON, FL 33434-4074
(561) 477-3524
(561) 477-3576
Mailing address
8903 GLADES RD, BAY A 1, BOCA RATON, FL 33434-4074
(561) 477-3524
(561) 477-3576

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC2450
FL
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC2450
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OPC2450
FLORIDA LICENSE
FL
Enumeration date
10/04/2005
Last updated
09/20/2011
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