Individual
DR. PETER S SIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7107 LAKE WORTH RD, LAKE WORTH, FL 33467-2906
(561) 966-2212
(561) 966-2215
Mailing address
7107 LAKE WORTH RD, LAKE WORTH, FL 33467-2906
(561) 966-2212
(561) 966-2215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4066
FL
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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