Individual
REBECCA ANNE SHEEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(850) 288-1256
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(850) 288-1256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9062
TX
Other
Enumeration date
09/01/2016
Last updated
01/09/2017
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