Organization
JAMES CANCELLARI, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CANCELLARI O.D. (PRESIDENT)
(813) 920-3712
Entity
Organization
Contact information
Practice address
7802 CITRUS PARK TOWN CENTER MALL, TAMPA, FL 33625-3178
(813) 920-3712
(813) 920-8531
Mailing address
7802 CITRUS PARK TOWN CENTER MALL, TAMPA, FL 33625-3178
(813) 920-3712
(813) 920-8531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078197500
—
FL
Enumeration date
12/02/2010
Last updated
12/02/2010
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