Individual
DONNA MARIE HILGENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD OPTOMETRIST
Contact information
Practice address
2519 DORA AVE, TAVARES, FL 32778-4977
(352) 742-8008
(352) 742-8008
Mailing address
2519 DORA AVE, TAVARES, FL 32778-4977
(352) 742-8008
(352) 742-8008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2251
FL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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