Individual
PAULINE THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Mailing address
215 1ST ST N, STE. 100, WINTER HAVEN, FL 33881-4537
(863) 299-8908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4538
FL
Other
Enumeration date
08/11/2010
Last updated
08/28/2020
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