Individual
MS. CHARLOTTE FAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
345 CLYDE MORRIS BLVD STE 330, ORMOND BEACH, FL 32174-3114
(386) 506-8389
Mailing address
345 CLYDE MORRIS BLVD STE 330, ORMOND BEACH, FL 32174-3114
(386) 672-4244
(386) 672-0603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6724
FL
Other
Enumeration date
05/20/2025
Last updated
06/11/2025
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