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Organization

DR. CHRIS RUSSELL, PA

Active
Other names
Studio Eyes
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLARENCE HENRY RUSSELL III O.D. (PRESIDENT)
(813) 657-3937
Entity
Organization

Contact information

Practice address
3466 LITHIA PINECREST RD, VALRICO, FL 33596-6301
(813) 657-3937
(813) 661-9009
Mailing address
3466 LITHIA PINECREST RD, VALRICO, FL 33596-6301
(813) 657-3937
(813) 661-9009

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2807
FL

Other

Enumeration date
12/15/2010
Last updated
12/15/2010
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