Individual
COLLEEN BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2050 OLD HICKORY TREE RD, SUITE I, SAINT CLOUD, FL 34772-8926
(407) 556-3969
Mailing address
2050 OLD HICKORY TREE RD, SUITE I, SAINT CLOUD, FL 34772-8926
(407) 556-3969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621268900
—
FL
Enumeration date
08/20/2007
Last updated
09/28/2010
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