Individual
DOMINIC JAMES PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 N WICKHAM RD, MELBOURNE, FL 32935-8937
(321) 259-1699
(321) 259-4658
Mailing address
PO BOX 560580, ROCKLEDGE, FL 32956-0580
(321) 693-1534
(321) 259-4658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20680
BCBS OF FL
FL
05
—
620836300
—
FL
Enumeration date
05/31/2006
Last updated
10/27/2010
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