Organization
KURT THEODORE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT THEODORE O.D. (PRESIDENT)
(813) 852-2030
Entity
Organization
Contact information
Practice address
3801 TAMPA RD, OLDSMAR, FL 34677-3008
(813) 852-2030
Mailing address
2747 GULF TO BAY BLVD, CLEARWATER, FL 33759-3945
(727) 431-0234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2398
FL
Other
Enumeration date
04/06/2007
Last updated
08/09/2022
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