Individual
DIANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO6088
Contact information
Practice address
19975 S TAMIAMI TRL, ESTERO, FL 33928-2268
(239) 590-0313
Mailing address
20469 TORRE DEL LAGO ST, ESTERO, FL 33928-6316
(954) 729-4416
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6088
FL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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