Organization
MONA PATEL, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA PATEL OD (SOLE OWNER)
(484) 432-0161
Entity
Organization
Contact information
Practice address
1201 W. P. BALL BLVD., TARGET OPTICAL, SANFORD, FL 32771
(407) 547-0010
Mailing address
1812 MARLEY PL, LONGWOOD, FL 32750-3786
(484) 432-0161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4046
FL
Other
Enumeration date
11/08/2006
Last updated
10/02/2007
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