Individual
DR. ALICIA HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5305 GRAND BLVD, NEW PORT RICHEY, FL 34652-4014
(727) 847-0889
Mailing address
5305 GRAND BLVD, NEW PORT RICHEY, FL 34652-4014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5144
FL
Other
Enumeration date
07/15/2014
Last updated
03/20/2019
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