Individual
MYRNA BARSOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
340 WHEELHOUSE LN, LAKE MARY, FL 32746-0016
(321) 506-5964
Mailing address
340 WHEELHOUSE LN, LAKE MARY, FL 32746-0016
(321) 506-5964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6606
FL
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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