BRENDA DEFORREST OD PA
Ambulatory Health at Kirkman Rd, Orlando, FL

License number
Florida FL2617
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: BRENDA DEFORREST OD
Title: PRESIDENT
Phone: (407) 298-8819
Address
Address
4884 S Kirkman Rd, Orlando, FL 32811
National Provider ID: 1477733780
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BRENDA DEFORREST OD PA at bizstanding.com

Brenda Deforrest O.D. PA

4884 S Kirkman Rd, Orlando, FL 32811

Status:
Inactive
Industry:
Optometrist's Office
Doing business as:
Brenda Deforest
Registration:
Jul 23, 1993
State ID:
P93000051840
Business type:
Domestic for Profit Corporation
Director, Physician Assistant, President, Principal:
Brenda Deforrest (Director, Physician Assistant, President, Principal)

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