Individual
DR. KEVIN THOMAS WILLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.S.
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4200
(954) 262-3217
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4200
(954) 262-3217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPFC96
FL
152W00000X
Optometrist
TUV008192-1
NY
Other
Enumeration date
06/23/2014
Last updated
02/27/2020
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