Organization
KAREN D DETWILER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN D DETWILER O.D. (OWNER/PRESIDENT)
(850) 561-5030
Entity
Organization
Contact information
Practice address
410 W TENNESSEE ST, TALLAHASSEE, FL 32301-1026
(850) 561-5030
(850) 561-0770
Mailing address
410 W TENNESSEE ST, TALLAHASSEE, FL 32301-1026
(850) 561-5030
(850) 561-0770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1733
FL
Other
Enumeration date
02/26/2010
Last updated
06/17/2010
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