Organization
MICHAEL FOGT P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L FOGT O D (OPTOMETRIST SOLE PROPRIETOR)
(772) 287-2663
Entity
Organization
Contact information
Practice address
900 SE OCEAN BLVD, STE. 106A, STUART, FL 34994-2471
(772) 287-2663
(772) 781-6797
Mailing address
900 SE OCEAN BLVD, STE. 106A, STUART, FL 34994-2471
(772) 287-2663
(772) 781-6797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC980
FL
Other
Enumeration date
05/21/2007
Last updated
03/07/2008
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