Individual
ANGIE R PEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5135 S DALE MABRY HWY, TAMPA, FL 33611-3505
(813) 902-1710
(813) 805-7901
Mailing address
810 S LAKEVIEW RD, TAMPA, FL 33609-5309
(813) 494-1436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3037
FL
Other
Enumeration date
04/16/2007
Last updated
07/06/2010
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