Organization
DONALD G. PURCELL, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GLENN PURCELL O.D. (PRESIDENT)
(386) 255-9585
Entity
Organization
Contact information
Practice address
1700 W INTERNATIONAL SPEEDWAY BLVD, SUITE # 432, DAYTONA BEACH, FL 32114-1387
(386) 255-9585
(386) 255-3404
Mailing address
1700 W INTERNATIONAL SPEEDWAY BLVD, SUITE # 432, DAYTONA BEACH, FL 32114-1387
(386) 255-9585
(386) 255-3404
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC003512
FL
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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