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Individual

DR. PRITI PANCHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 581-8706
Mailing address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 581-8706

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4522
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002794700
FL
Enumeration date
08/24/2010
Last updated
05/02/2013
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