Individual
DR. REGINA L PORTOCARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1601 SW ARCHER ROAD, EYE CLINIC 1ST FLOOR 11C-1, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, EYE CLINIC 1ST FLOOR 11C-1, GAINESVILLE, FL 32608-1135
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3732
FL
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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