Individual
ESAAM EL-DEAN ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
410 CITI CTR, WINTER HAVEN, FL 33880-3425
(863) 297-5067
(863) 297-5067
Mailing address
215 S GOODMAN AVE, LAKE ALFRED, FL 33850-3003
(863) 297-5067
(863) 294-8786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2529
FL
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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