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Individual

MR. ROGER FREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.D.O.

Contact information

Practice address
1410 E FLETCHER AVE, TAMPA, FL 33612-3668
(813) 977-4801
(813) 979-4572
Mailing address
1410 E FLETCHER AVE, TAMPA, FL 33612-3668
(813) 977-4801
(813) 979-4572

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO2954
FL

Other

Enumeration date
01/29/2007
Last updated
11/07/2007
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