Individual
ALEC DERYLE LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 RINEHART RD, SANFORD, FL 32771-7390
(407) 302-8708
Mailing address
1101 RINEHART RD, SANFORD, FL 32771-7390
(407) 302-8708
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5287
FL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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