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Deborah J Fantin, DO
Optician in Arcadia, Florida
NPI 1104099944

Deborah J Fantin is a Optician based in Arcadia, FL and is specialized in Optician. Deborah J Fantin practices in Arcadia, FL and has the professional credentials of DO. The NPI Number for Deborah J Fantin is 1104099944 and holds a License No. DO 4027 (Florida).

The current practice location address for Deborah J Fantin is 14 S Polk Ave, Arcadia, FL and can be reached out via phone at 863-993-9911 and via fax at 863-993-1022.

Location: 14 S Polk Ave, Arcadia, FL, 34266-3950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104099944
Provider Name
Deborah J Fantin
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
14 S Polk Ave, Arcadia, FL, 34266-3950
Phone Number
863-993-9911
Fax Number
863-993-1022
Provider Enumeration Date
04/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
650942504 01 FL TAX ID
institution
Provider Business Practice Location Address Details
Address
14 S Polk Ave
City
Arcadia
State
Florida
Zip
34266-3950
Phone Number
863-993-9911
Fax Number
863-993-1022
person
Provider Business Mailing Address Details
Address
14 S Polk Ave
City
Arcadia
State
Florida
Zip
34266-3950
Phone Number
863-993-9911
Fax Number
863-993-1022
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO 4027 (Florida)
Definition
Definition to come...
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