Individual
PAUL G ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. O.D. F.C.O.V.D
Contact information
Practice address
5455 MURRELL RD, SUITE 107, ROCKLEDGE, FL 32955-6615
(321) 636-1972
(321) 636-1507
Mailing address
5455 MURRELL RD, SUITE 107, ROCKLEDGE, FL 32955-6615
(321) 636-1972
(321) 636-1507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC2641
FL
152WV0400X
Vision Therapy Optometrist
Primary
OPC2641
FL
Other
Enumeration date
04/11/2007
Last updated
03/13/2025
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