Individual
KRISTINE VERKAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2303 S BAY ST, EUSTIS, FL 32726-6360
(352) 357-1027
Mailing address
2303 S BAY ST, EUSTIS, FL 32726-6360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620541100
—
FL
Enumeration date
06/30/2006
Last updated
11/18/2009
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