Individual
TAMMY BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6868 US HIGHWAY 129, LIVE OAK, FL 32060-8476
(386) 330-2498
(386) 330-2592
Mailing address
6868 US HIGHWAY 129, LIVE OAK, FL 32060-8476
(386) 330-2498
(386) 330-2592
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6847
FL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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