Individual
SELENNE RUBI GARNELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 GALL BLVD, ZEPHYRHILLS, FL 33541-4371
(813) 782-4546
(813) 782-1902
Mailing address
4399 35TH ST N, ST PETERSBURG, FL 33714-3722
(727) 526-0501
(727) 522-1408
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 5580
ZZ
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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