Organization
FULL SPECTRUM FAMILY VISION CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER L TRAPHEAGEN OD (OPTOMETRIST/PRESIDENT)
(239) 745-5050
Entity
Organization
Contact information
Practice address
1224 DEL PRADO BLVD S, SUITE A, CAPE CORAL, FL 33990-3686
(239) 745-5050
Mailing address
1722 SE 2ND ST, CAPE CORAL, FL 33990-5303
(239) 745-5050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OPC3636
FL
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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