Organization
KATHLEEN D. WOOSTER, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN DIANE WOOSTER O.D. (PRESIDENT)
(352) 797-5505
Entity
Organization
Contact information
Practice address
924 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 797-5505
(352) 799-0462
Mailing address
924 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 797-5505
(352) 799-0462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1707
FL
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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