Individual
PAUL EDWARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
600 SW 10TH ST STE 104, OCALA, FL 34471-0200
(352) 629-7509
(352) 867-5652
Mailing address
600 SW 10TH ST STE 104, OCALA, FL 34471-0200
(352) 629-7509
(352) 867-5652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620636100
—
FL
Enumeration date
12/06/2005
Last updated
10/14/2008
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