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Individual

MELISSA COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
621 SW BAYA DR STE 101, LAKE CITY, FL 32025-4203
(386) 754-6616
(386) 754-6615
Mailing address
621 SW BAYA DR STE 101, LAKE CITY, FL 32025-4203
(386) 754-6616
(386) 754-6615

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
DO7147
156FX1800X
Optician
Primary
DO7147

Other

Enumeration date
07/27/2018
Last updated
07/27/2018
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