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Contact Information

STUART K HARRELL, OD
2004 CR 540-A
LAKELAND, FL33813
 Phone: 863-294-3504
 Fax: 866-522-3607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STUART K HARRELL · (Male)

NPI # 1134212145
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/02/2006
Last updated 04/20/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OPC2359
  • FL Medicaid 621353700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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