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Individual

BRIAN LLOYD WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1380 PINEHURST DR, SPRING HILL, FL 34606-4500
(352) 683-2020
(352) 683-3168
Mailing address
1380 PINEHURST DR, SPRING HILL, FL 34606-4500
(352) 683-2020
(352) 683-3168

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1451
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620170900
FL
01
OPC 1451
CERTIFIED OPTOMETRIST
FL
Enumeration date
06/02/2006
Last updated
07/08/2007
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