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Alec Deryle Luke
Optician in Sanford, Florida
NPI 1518641422

Alec Deryle Luke is a Optician based in Sanford, FL and is specialized in Optician. Alec Deryle Luke practices in Sanford, FL. The NPI Number for Alec Deryle Luke is 1518641422 and holds a License No. DO5287 (Florida).

The current practice location address for Alec Deryle Luke is 1101 Rinehart Rd, Sanford, FL and can be reached out via phone at 407-302-8708.

Location: 1101 Rinehart Rd, Sanford, FL, 32771-7390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518641422
Provider Name
Alec Deryle Luke
Credential
Provider Entity Type
Individual
Gender
Male
Address
1101 Rinehart Rd, Sanford, FL, 32771-7390
Phone Number
407-302-8708
Fax Number
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 Rinehart Rd
City
Sanford
State
Florida
Zip
32771-7390
Phone Number
407-302-8708
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Rinehart Rd
City
Sanford
State
Florida
Zip
32771-7390
Phone Number
407-302-8708
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO5287 (Florida)
Definition
Definition to come...
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