BRUCE W ANDERSON, P.A.
Optometry at Fletcher Ave, Tampa, FL

License number
Florida OPC001520
Category
Optometry
Type
Optometrist
Owner
Name: DR. BRUCE WALFRED ANDERSON O.D.
Title: OPTOMETRIST
Phone: (813) 961-2020
Address
Address
719 W Fletcher Ave, Tampa, FL 33612
National Provider ID: 1598968869
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. BRUCE W. ANDERSON, PA

719 W Fletcher Ave, Tampa, FL 33612

Status:
Inactive
Industry:
Optometrist's Office
Inactive reason:
Reinstatement
Registration:
Jul 13, 1984
Inactive since:
May 15, 2013
Phone:
(813) 961-2020 (Phone)
State ID:
H12118
Business type:
Florida Profit Corporation
Presidents:
Anderson Bruce W, 719 W Fletcher Ave, Tampa, FL 33612 (Physical),Bruce W. Anderson (President)
Agent:
Anderson, Bruce W, Pa,719 W Fletcher Ave, Tampa, FL 33612 (Physical)
EIN:
59-2349801

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