Individual
DR. JENNIFER S STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3040 W BEARSS AVE, TAMPA, FL 33618-1811
(813) 264-2020
(813) 964-5734
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620012500
—
FL
Enumeration date
08/12/2005
Last updated
11/04/2024
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