Individual
MS. MARIANELA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
16361 SWAN VIEW CIR, ODESSA, FL 33556-4937
(352) 584-0929
Mailing address
16361 SWAN VIEW CIR, ODESSA, FL 33556-4937
(352) 584-0929
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 5693
FL
156FX1800X
Optician
Primary
OE2978
FL
Other
Enumeration date
05/28/2014
Last updated
04/07/2026
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