Individual
MARIELLE ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3600 US HIGHWAY 27 N, SEBRING, FL 33870-1691
(863) 382-2020
Mailing address
4337 S FLORIDA AVE, LAKELAND, FL 33813-1654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5339
FL
Other
Enumeration date
06/24/2016
Last updated
03/17/2018
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