Individual
DR. PHILIP BENEDICT GUASTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
17030 US HWY 441, MT DORA, FL 32757-6733
(352) 735-2030
(352) 735-0218
Mailing address
18102 VICTORIAN DRIVE, CLERMONT, FL 34715-7743
(352) 241-0181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2903
FL
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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