Individual
ANTUAN GLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7823 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-5715
(813) 446-5339
Mailing address
7823 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-5715
(813) 446-5339
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7701
FL
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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