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Organization

HART HART & ASSOCIATES OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENDA HART O.D. (SECRECTARY/OPTOMETRIST)
(239) 936-2121
Entity
Organization

Contact information

Practice address
4600 SUMMERLIN RD STE C4, FORT MYERS, FL 33919-3003
(239) 936-2121
(239) 936-7225
Mailing address
4600 SUMMERLIN RD STE C4, FORT MYERS, FL 33919-3003
(239) 936-2121
(239) 936-7225

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC00002601
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086874400
FL
Enumeration date
10/30/2007
Last updated
07/08/2008
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