Individual
JEANNENE L DIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8312 US HIGHWAY 301 N STE 105, PARRISH, FL 34219-8725
(941) 776-5770
(941) 845-0162
Mailing address
8312 US HIGHWAY 301 N STE 105, PARRISH, FL 34219-8725
(941) 776-0577
(941) 845-0162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002256
FL
Other
Enumeration date
07/13/2005
Last updated
03/16/2023
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