Individual
GUY TIMOTHY PETITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 578-9880
Mailing address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 578-9880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP-0001955
FL
Other
Enumeration date
06/25/2006
Last updated
09/19/2013
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