Individual
DR. BRANDI MARIE FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
986 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1766
(772) 621-8777
Mailing address
210 NW PLEASANT GROVE WAY, PORT SAINT LUCIE, FL 34986
(772) 621-8777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000574800
—
FL
Enumeration date
07/21/2006
Last updated
10/03/2011
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