Individual
DR. MICHELLE EDITH CEVALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5353 SW COLLEGE RD, OCALA, FL 34474-5717
(352) 512-0560
Mailing address
5353 SW COLLEGE RD, OCALA, FL 34474-5717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00618600
NJ
152W00000X
Optometrist
Primary
OPC4874
FL
152W00000X
Optometrist
TUV007321
NY
Other
Enumeration date
11/10/2008
Last updated
12/04/2014
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