Individual
DR. DONALD P HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
407 N PLANT AVE, PLANT CITY, FL 33563-7247
(813) 754-4558
(813) 752-1789
Mailing address
407 N PLANT AVE, PLANT CITY, FL 33563-7247
(813) 754-4558
(813) 752-1789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084914600
—
FL
05
—
084914601
—
FL
Enumeration date
05/18/2006
Last updated
07/26/2010
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