Individual
MICHELLE DIANE FEKETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2747 GULF TO BAY BLVD, CLEARWATER, FL 33759-3945
(727) 726-3207
(727) 431-0236
Mailing address
10441 LIGHTNER BRIDGE DR, TAMPA, FL 33626-1815
(901) 849-4148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC004574
FL
Other
Enumeration date
10/15/2010
Last updated
10/22/2020
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