Individual
MR. DAVID BODNARCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7955 AIRPORT PULLING RD N, SUITE 104, NAPLES, FL 34109-1794
(239) 593-7747
Mailing address
6190 SPANISH OAKS LN, NAPLES, FL 34119-8601
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO2644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2644
LICENSE
FL
Enumeration date
02/06/2009
Last updated
02/06/2009
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