Individual
KIMBERLY ANN SPICZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
8701 US HIGHWAY 19, PORT RICHEY, FL 34668-5349
(727) 848-9571
(727) 848-5780
Mailing address
8114 SYLVAN DR, HUDSON, FL 34667-1443
(309) 267-3985
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7884
FL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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