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Individual

BOGDAN GRYNYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10934 N DALE MABRY HWY, CARROLLWOOD, FL 33618-4100
(813) 559-4990
Mailing address
11020 LONGBOAT KEY LN APT 304, TAMPA, FL 33626-2756
(153) 838-6173

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002701
VA
152W00000X
Optometrist
Primary
OPC5640
FL

Other

Enumeration date
07/02/2018
Last updated
09/07/2021
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