Individual
LESLIE ANN CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
(321) 984-0032
Mailing address
4513 CANARD RD, MELBOURNE, FL 32934-8554
(765) 506-7621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004102B
IN
152W00000X
Optometrist
Primary
OPC5631
FL
Other
Enumeration date
06/21/2018
Last updated
09/22/2021
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