Individual
MR. ANTHONY DAVID RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
13300 CORTEZ BOULEVARD, BROOKSVILLE, FL 34613
(352) 597-1577
(352) 596-2668
Mailing address
PO BOX 5445, SPRING HILL, FL 34611-5445
(352) 848-4222
(352) 688-6994
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO2281
FL
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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