Individual
JENNIFER BUZZETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13129G N DALE MABRY HWY, TAMPA, FL 33618-2405
(813) 962-1799
(813) 962-3139
Mailing address
2606 S ESPERANZA AVE, TAMPA, FL 33629-7113
(813) 831-8931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86942200
—
FL
Enumeration date
06/12/2006
Last updated
07/09/2007
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