Individual
DAKOTA RHEA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
883 E BLOOMINGDALE AVE, BRANDON, FL 33511-8113
(813) 661-1930
Mailing address
2907 LAUREL MEADOW CT, PLANT CITY, FL 33566-0386
(813) 895-9389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5607
FL
Other
Enumeration date
11/18/2018
Last updated
06/11/2019
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