ROXANNE ACHONG OD, PA
Optometry at Colonial Dr, Ocoee, FL

License number
Florida OPC 3204
Category
Optometry
Type
Optometrist
Owner
Name: DR. ROXANNE ACHONG OD
Title: PRESIDENT
Phone: (407) 445-5170
Address
Address
10101 W Colonial Dr SUITE 100, Ocoee, FL 34761
National Provider ID: 1386665230
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROXANNE A. ACHONG, O.D., PA

10101 W Colonial Dr SUITE 100, Ocoee, FL 34761

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Apr 24, 2000
Inactive since:
Oct 31, 2002
State ID:
P00000040748
Business type:
Florida Profit Corporation
President, Vice Presidents:
Roxanne Aod Achong-Coan, 10342 Oakview Pointe Ter, Gotha, FL 34734 (Physical),Mark Aod Coan (Secretary), 10342 Oakview Pointe Ter, Gotha, FL 34734 (Physical),Roxanne A. Achong-Coan (President, Vice President),...
Agent:
Roxanne Achong-Coan,10342 Oakview Pointe Ter, Gotha, FL 34734 (Physical)
EIN:
65-1001535

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