Organization
DAVID J. UNDERILL OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY CARTER (MANAGER)
(863) 763-4334
Entity
Organization
Contact information
Practice address
520 SOUTH PARROTT AVE, OKEECHOBEE, FL 34974
(863) 763-4334
(863) 763-3226
Mailing address
520 SOUTH PARROTT AVE, OKEECHOBEE, FL 34974
(863) 763-4334
(863) 763-3226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 001869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078280700
—
FL
Enumeration date
04/28/2008
Last updated
10/07/2008
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