Individual
DR. RONALD O SEVIGNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
210 US 27 N, AVON PARK, FL 33825-3073
(863) 453-3850
(863) 452-1462
Mailing address
PO BOX 1648, AVON PARK, FL 33826-1648
(863) 453-3850
(863) 452-1462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084527200
—
FL
Enumeration date
10/25/2006
Last updated
04/07/2009
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