Individual
LAURIE BUCCINNA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27348 CASHFORD CIR, WESLEY CHAPEL, FL 33544-8198
(813) 994-7000
Mailing address
27348 CASHFORD CIR, WESLEY CHAPEL, FL 33544-8198
(813) 994-7000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME105403
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN11076
FL
Other
Enumeration date
09/10/2007
Last updated
09/25/2012
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