Individual
DR. KELLY FAUST DUKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2271 TOWN CENTER AVE, STE 101, VIERA, FL 32940-6108
(321) 632-8356
(321) 632-4449
Mailing address
2271 TOWN CENTER AVE, STE 101, VIERA, FL 32940-6108
(321) 632-8356
(321) 632-4449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1406
FL
Other
Enumeration date
10/06/2006
Last updated
05/29/2012
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