Individual
DR. BOBBY SARIVANNARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
325TH MEDICAL GROUP, 340 MAGNOLIA CIR BLDG 1465, TYNDALL AFB, FL 32403-5604
(850) 283-7108
Mailing address
325TH MEDICAL GROUP, 340 MAGNOLIA CIR BLDG 1465, TYNDALL AFB, FL 32403-5604
(850) 283-7108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC 4488
FL
152W00000X
Optometrist
Primary
OPC4488
FL
Other
Enumeration date
08/27/2009
Last updated
09/03/2025
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