Individual
DR. DAVID G PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4340 LAFAYETTE ST, MARIANNA, FL 32446
(850) 482-2336
(850) 526-5337
Mailing address
PO BOX 6054, MARIANNA, FL 32447
(850) 482-2336
(850) 526-5337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078403600
—
FL
Enumeration date
07/12/2006
Last updated
08/25/2010
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