Individual
BRENDA R LIFFLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2650 TAMPA RD, PALM HARBOR, FL 34684-3144
(727) 785-4419
(727) 789-3351
Mailing address
1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
(727) 895-2020
(727) 823-8796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000415700
—
FL
Enumeration date
09/09/2008
Last updated
05/10/2021
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