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Individual

DR. BERNARD MAMPHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3615 S FLORIDA AVE, LAKELAND, FL 33803-4876
(863) 859-6500
Mailing address
919 LAKELAND PARK CENTER DR UNIT 314, LAKELAND, FL 33809-3841
(863) 859-6500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5419
FL

Other

Enumeration date
07/05/2017
Last updated
02/24/2018
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