Individual
DAVID DIVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3800 S TAMIAMI TRL # 103, SARASOTA, FL 34239-6908
(941) 365-1633
(941) 365-1583
Mailing address
3800 S TAMIAMI TRL # 103, SARASOTA, FL 34239-6908
(941) 365-1633
(941) 365-1583
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO2467
FL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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