Individual
DR. MARIE LAURETTA SEIDE-JUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6601 OLD WINTER GARDEN RD, UNIT 104, ORLANDO, FL 32835-1370
(407) 292-9812
(407) 292-9813
Mailing address
6601 OLD WINTER GARDEN RD, SNIT 104, ORLANDO, FL 32835-1370
(407) 292-9812
(407) 292-9813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC003955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621147000
—
FL
Enumeration date
06/08/2006
Last updated
06/22/2011
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