KURT THEODORE OD PA
Optometry at Gulf To Bay Blvd, Clearwater, FL

License number
Florida OPC2398
Category
Optometry
Type
Optometrist
Owner
Name: DR. KURT THEODORE O.D.
Title: PRESIDENT
Phone: (727) 431-0234
Address
Address
2747 Gulf To Bay Blvd, Clearwater, FL 33759
National Provider ID: 1609998814
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KURT THEODORE, O.D., PA

Palm Harbor, FL  -  Clearwater, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Inactive reason:
Name Change Amendment
Registration:
Jul 7, 1998
Inactive since:
Jul 20, 1998
Addresses:
218 Westwinds Dr, Palm Harbor, FL 34683 (Physical)
2747 Gulf To Bay Blvd, Clearwater, FL 33759
State ID:
P98000059784
Business type:
Florida Profit Corporation
Director:
Kurt Theodore (Director), 218 Westwinds Dr, Palm Harbor, FL 34683 (Physical)
Agent:
Theodore, Kurt,218 Westwinds Dr, Palm Harbor, FL 34683 (Physical)
EIN:
59-3524929

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