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Individual

DR. ANDREW S CORMIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8001 US HIGHWAY 19 N STE B, PINELLAS PARK, FL 33781-1744
(727) 954-7210
(727) 290-4177
Mailing address
PO BOX 207151, DALLAS, TX 75320-7151
(636) 200-4393
(636) 527-0766

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002809
PA
152W00000X
Optometrist
Primary
OPC4820
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OPC4820
OPTOMETRY
FL
Enumeration date
06/23/2013
Last updated
10/05/2023
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