Individual
ALBERT L HARRELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D .
Contact information
Practice address
11924 W FOREST HILL BLVD, SUITE 31, WELLINGTON, FL 33414-6256
(561) 798-8282
(561) 798-2840
Mailing address
11924 W FOREST HILL BLVD, SUITE 31, WELLINGTON, FL 33414-6256
(561) 798-8282
(561) 798-2840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP 1746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078294700
—
FL
01
—
19649B
PTAN
FL
Enumeration date
01/31/2007
Last updated
05/10/2011
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