Organization
KELLY ANDERSON OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY ANDERSON OD (PRESIDENT)
(239) 297-2883
Entity
Organization
Contact information
Practice address
15495 TAMIAMI TRL N, SUITE 124, NAPLES, FL 34110-6206
(239) 593-4801
(239) 593-3019
Mailing address
13300 S CLEVELAND AVE STE 56, SUITE 153, FORT MYERS, FL 33907-3871
(239) 297-2883
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC 3770
FL
Other
Enumeration date
07/10/2007
Last updated
07/26/2007
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