Individual
DAX VASILIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6300 N WICKHAM RD, MELBOURNE, FL 32940-2028
(321) 751-7270
Mailing address
PO BOX 320630, COCOA BEACH, FL 32932-0630
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 5025
FL
Other
Enumeration date
10/19/2011
Last updated
06/18/2015
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