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Individual

MICHAEL F CARELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2090 SE OCEAN BLVD, STUART, FL 34996-3304
(772) 287-8777
(772) 287-1996
Mailing address
2090 SE OCEAN BLVD, STUART, FL 34996-3304
(772) 287-8777
(772) 287-1996

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078776101
FL
Enumeration date
05/18/2006
Last updated
01/06/2010
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