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Individual

DR. LLOYD FIRESTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
14958 N FLORIDA AVE, TAMPA, FL 33613-1626
(813) 961-6702
(813) 968-6994
Mailing address
14958 N FLORIDA AVE, TAMPA, FL 33613-1626
(813) 961-6702
(813) 968-6994

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
817
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084102100
FL
Enumeration date
07/27/2006
Last updated
02/13/2008
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