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Individual

DR. BRENDA DEFORREST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD, PA

Contact information

Practice address
5006 DR PHILLIPS BLVD, ORLANDO, FL 32819-3310
(407) 298-8819
(407) 296-7121
Mailing address
540 OLOLU DR, WINTER PARK, FL 32789-2801
(407) 579-6450
(407) 296-7121

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2617
FL

Other

Enumeration date
01/16/2007
Last updated
08/04/2025
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