Individual
ANNA FRANCES KAUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
215 1ST ST N STE 100, WINTER HAVEN, FL 33881-4507
(863) 299-8908
(863) 877-0443
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1938
SC
152W00000X
Optometrist
Primary
OPC4832
FL
152W00000X
Optometrist
OPT003123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D19380
—
SC
Enumeration date
09/03/2013
Last updated
01/13/2023
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