Penny Lee Russell, LDOABONCLE
Penny Lee Russell, LDOABONCLE is an Optician in Fort Myers Beach, Florida. Licensed in Florida. Registered with an NPI since 2023.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
17105 San Carlos BlvdFort Myers Beach, FL 33931-5305
Phone: (239) 340-7071
Fax: (239) 466-9015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence DO7367 (FL) |
|---|
Record details
| NPI number | 1295425734 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LDOABONCLE |
| Sole proprietor | No |
| NPI enumerated | May 9, 2023 |
| Last updated in NPPES | May 9, 2023 |
| Certification date | May 9, 2023 |
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Celeste Harger
17105 San Carlos Blvd, Fort Myers Beach, FL 33931-5305 · (239) 340-7071
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