Individual
DR. AMY SUZANNE RAGOZZINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4150 TAMIAMI TRL S, VENICE, FL 34293-5130
(941) 497-5555
(941) 497-2369
Mailing address
4150 TAMIAMI TRL S, VENICE, FL 34293-5130
(941) 497-5555
(941) 497-2369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2606
STATE LICENSE NUMBER
CT
01
—
41542
SPECTERA PROVIDER NUMBER
FL
01
—
OPC 4087
STATE LICENSE NUMBER
FL
Enumeration date
05/24/2006
Last updated
10/08/2016
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