Individual
AMY E CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
24444 SR 54, LUTZ, FL 33559-7303
(813) 345-8544
Mailing address
24444 SR 54, LUTZ, FL 33559-7303
(813) 345-8544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000658
VA
152W00000X
Optometrist
Primary
6156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9233865
—
VA
Enumeration date
10/03/2006
Last updated
11/12/2024
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