Individual
HILDA ANN MCFALL-FIALKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 SW KINGSBAY DRIVE, CRYSTAL RIVER, FL 34429
(352) 795-2020
(352) 795-7432
Mailing address
1801 NW HWY 19, SUITE 165, CRYSTAL RIVER, FL 34428-6119
(352) 795-2020
(352) 795-7432
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
203289691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078546600
—
FL
Enumeration date
09/06/2007
Last updated
05/05/2008
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