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Organization

G TIMOTHY PETITO OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUY TIMOTHY PETITO O.D. (OWNER)
(727) 578-9880
Entity
Organization

Contact information

Practice address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 578-9880
(727) 578-1510
Mailing address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 578-9880
(727) 578-1510

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0001955
FL

Other

Enumeration date
03/26/2008
Last updated
08/21/2008
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