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Individual

DR. MICHELLE HANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
19475 BOGGY CREEK RD STE B, ORLANDO, FL 32832-7000
(954) 850-3993
Mailing address
19475 BOGGY CREEK RD STE B, ORLANDO, FL 32832-7000
(407) 440-4589
(407) 440-4806

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4931
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014104900
FL
Enumeration date
07/15/2014
Last updated
09/20/2021
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