Individual
MRS. SUSAN ROBERTA CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
601 E 25TH ST, SUITE A, SANFORD, FL 32771
(407) 323-8080
(407) 323-8080
Mailing address
601 E 25TH ST, SUITE A, SANFORD, FL 32771
(407) 323-8080
(407) 323-8080
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1069
FL
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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