Individual
JOHN A. DZIADUL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
(321) 637-3509
Mailing address
8081 ARCO CORPORATE DR STE 120, RALEIGH, NC 27617-2042
(919) 286-5237
(919) 286-5223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC 2258
FL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC 2258
FL
Other
Enumeration date
06/09/2006
Last updated
04/22/2019
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