Individual
DR. KAREN DORA DETWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
410 W TENNESSEE ST, TALLAHASSEE, FL 32301-1026
(850) 561-5030
(850) 561-0770
Mailing address
410 W TENNESSEE ST, TALLAHASSEE, FL 32301-1026
(850) 561-5030
(850) 561-0770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078234300
—
FL
Enumeration date
03/06/2006
Last updated
06/21/2010
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