Individual
MOLLY BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 828-2273
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5885
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2020
Last updated
01/31/2025
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