Individual
JEAN R DUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7657 LAKE WORTH RD, LAKE WORTH, FL 33467-2534
(561) 432-4141
Mailing address
6137 LAKE WORTH RD, LAKE WORTH, FL 33463
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6820
FL
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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