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Individual

DR. JOYCE E DESROSIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
634 21ST ST, VERO BEACH, FL 32960-0933
(772) 567-6513
(772) 567-6993
Mailing address
634 21ST ST, VERO BEACH, FL 32960-0933
(772) 567-6513
(772) 567-6993

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043636759
VISION SERVICE PLAN
FL
01
1740455526
DMERC
FL
01
1932192853
MEDICARE NPI
FL
01
19865
BLUE CROSS BLUE SHIELD
FL
01
410047447
RAILROAD MEDICARE
FL
05
620690500
FL
01
7607417
AETNA
FL
Enumeration date
08/25/2005
Last updated
06/11/2013
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