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Individual

DR. CAROL GIGUERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1480 TIMBERLANE RD, TALLAHASSEE, FL 32312-1713
(850) 893-4687
(850) 893-4687
Mailing address
1480 TIMBERLANE RD, TALLAHASSEE, FL 32312-1713
(850) 893-4005
(850) 893-9987

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
04585T
TX
152W00000X
Optometrist
0618001209
VA
152W00000X
Optometrist
Primary
2770
FL
152W00000X
Optometrist
339
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001859700
FL
01
OPC2770
FL LICENSE
FL
Enumeration date
01/08/2010
Last updated
07/07/2010
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