Individual
DR. PAMELA JISELLE BLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9001 TABORFIELD AVE., SUITE 101, ORLANDO, FL 32836
(407) 217-7375
Mailing address
9001 TABORFIELD AVE, SUITE 101, ORLANDO, FL 32836
(407) 217-7375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5035
FL
Other
Enumeration date
07/25/2010
Last updated
12/21/2017
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