Individual
DIANE DENISE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10809 MASTERS DR, CLERMONT, FL 34711-7114
(407) 785-5179
Mailing address
10809 MASTERS DR, CLERMONT, FL 34711-7114
(407) 785-5179
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5521
FL
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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