Individual
CHERRY BRANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17030 US HIGHWAY 441, MOUNT DORA, FL 32757-6733
(352) 735-5900
(352) 735-0218
Mailing address
17030 US HIGHWAY 441, MOUNT DORA, FL 32757-6733
(352) 735-5900
(352) 735-0218
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
03588
FL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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