Individual
CLINTON R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2830 N HIAWASSEE RD, ORLANDO, FL 32818-3319
(407) 296-2020
Mailing address
1507 WATER TERRACE LN, BRANDON, FL 33511-1269
(813) 597-4540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2505T
OR
152W00000X
Optometrist
Primary
OPC3205
FL
Other
Enumeration date
09/26/2005
Last updated
03/17/2018
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