Individual
ALFRED THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
7631 GALL BLVD, ZEPHYRHILLS, FL 33541-4321
(813) 788-0197
Mailing address
7631 GALL BLVD, ZEPHYRHILLS, FL 33541-4321
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5004
FL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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