Organization
DRS CARLSON TERREZZA AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J DUKES (INSURANCE MANAGER)
(850) 456-5059
Entity
Organization
Contact information
Practice address
10423 COUNTY ROAD 39 S, LITHIA, FL 33547-2864
(813) 737-1122
(850) 456-0461
Mailing address
800 N FAIRFIELD DR, PENSACOLA, FL 32506-4313
(850) 456-5059
(850) 456-0461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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