DAVID G PELT, OD, Optometrist MARIANNA, FL

Contact Information

DAVID G PELT, OD

4340 LAFAYETTE ST
MARIANNA, FL 32446

Phone: 850-482-2336
Fax: 850-526-5337
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for DAVID G PELT · (Male)

NPI Number	`1598790891`
Status	Active
Credentials	OD (Doctor of Optometry)
Entity	Individual
Enumeration date	07/12/2006
Last updated	08/25/2010 - About 16 years ago
Sole proprietor ¹	No
Identifiers	FL License # OPC1859 FL Medicaid 078403600
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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