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Individual

DR. ELYSE MICHELLE MALDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5705 RED BUG LAKE RD, WINTER SPRINGS, FL 32708-4969
(407) 977-3100
Mailing address
5705 RED BUG LAKE RD, WINTER SPRINGS, FL 32708-4969
(407) 977-3100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4802
FL

Other

Enumeration date
08/15/2013
Last updated
08/15/2013
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