Organization
L BRUCE FOSEN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD BRUCE FOSEN O D (PRESIDENT)
(352) 208-0091
Entity
Organization
Contact information
Practice address
2535 SE 28TH ST, OCALA, FL 34471-6273
(352) 208-0091
Mailing address
2535 SE 28TH ST, OCALA, FL 34471-6273
(352) 208-0091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 887
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078546600
—
FL
Enumeration date
11/15/2007
Last updated
05/28/2013
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