Individual
CARLO DANIEL FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1619 US HIGHWAY 1, SEBASTIAN, FL 32958-3834
(772) 388-9330
(772) 388-3036
Mailing address
1619 US HIGHWAY 1, SEBASTIAN, FL 32958-3834
(772) 388-9330
(772) 388-3036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC003794
FL
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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