Organization
A. L. HARRELL,III, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT L. HARRELL III O.D. (PRESIDENT)
(561) 798-8282
Entity
Organization
Contact information
Practice address
11924 W FOREST HILL BLVD, 31, WELLINGTON, FL 33414-6256
(561) 798-8282
(561) 798-2840
Mailing address
11924 W FOREST HILL BLVD, 31, WELLINGTON, FL 33414-6256
(561) 798-8282
(561) 798-2840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP 1746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0776020002
DMERC
FL
05
—
078294701
—
FL
Enumeration date
10/26/2010
Last updated
05/10/2011
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