person
Penny Lee Russell, LDOABONCLE
Optician in Fort Myers Beach, Florida
NPI 1295425734

Penny Lee Russell is a Optician based in Fort Myers, FL and is specialized in Optician. Penny Lee Russell practices in Fort Myers Beach, FL and has the professional credentials of LDOABONCLE. The NPI Number for Penny Lee Russell is 1295425734 and holds a License No. DO7367 (Florida).

The current practice location address for Penny Lee Russell is 17105 San Carlos Blvd, Fort Myers Beach, FL and can be reached out via phone at 239-340-7071 and via fax at 239-466-9015.

Location: 17105 San Carlos Blvd, Fort Myers Beach, FL, 33908-1871
person
Provider Profile Details
NPI Number
1295425734
Provider Name
Penny Lee Russell
Credential
LDOABONCLE
Provider Entity Type
Individual
Gender
Female
Address
17105 San Carlos Blvd, Fort Myers Beach, FL, 33908-1871
Phone Number
239-340-7071
Fax Number
239-466-9015
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17105 San Carlos Blvd
City
State
Zip
33931-5305
Phone Number
239-340-7071
Fax Number
239-466-9015
person
Provider Business Mailing Address Details
Address
17105 San Carlos Blvd
City
State
Zip
33931-5305
Phone Number
239-340-7071
Fax Number
239-466-9015
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO7367 (Florida)
Definition
Definition to come...
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