Individual
LEVY JOHN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
723 3RD ST SW, WINTER HAVEN, FL 33880-3419
(863) 297-5067
Mailing address
3404 SUMMERWOOD WAY, LAKELAND, FL 33812-5019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5649
FL
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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