Individual
DR. JORDAN PAUL PETROSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
11151 STATE ROAD 70 E, LAKEWOOD RANCH, FL 34202-8405
(941) 739-5959
(941) 756-1925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5530
FL
Other
Enumeration date
06/10/2018
Last updated
07/23/2019
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