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Individual

DR. CHARLES JOHN PAPPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
755 N US HIGHWAY 441, LADY LAKE, FL 32159-3196
(352) 455-2917
Mailing address
42609 LAKE HOSPITALITY LN, ALTOONA, FL 32702-9547
(352) 455-2917

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1172
FL

Other

Enumeration date
07/23/2015
Last updated
07/23/2015
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