Individual
TAMARA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
5565 20TH ST, VERO BEACH, FL 32966-4632
(772) 978-0722
(772) 978-7786
Mailing address
5565 20TH ST, VERO BEACH, FL 32966-4632
(772) 978-0722
(772) 978-7786
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7121
FL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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