Individual
CARLA STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
7410 DAETWYLER DR, ORLANDO, FL 32812-3726
(321) 297-4075
Mailing address
7410 DAETWYLER DR, ORLANDO, FL 32812-3726
(321) 297-4075
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2680
FL
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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