WILLIAM D. TANKE, OD, PA
Optometry at New Haven Ave, Melbourne, FL

License number
Florida OPC001868
Category
Optometry
Type
Optometrist
Owner
Name: DR. WILLIAM D. TANKE O.D.
Title: PRESIDENT
Phone: (321) 412-3487
Address
Address
1813 W New Haven Ave, Melbourne, FL 32904
National Provider ID: 1306133285
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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William D. Tanke, O.D., PA

Melbourne, FL

Industry:
Optometrist's Office
Registration:
Oct 7, 2009
Addresses:
2652 Glasbern Cir, Melbourne, FL 32904
1813 W New Hvn Ave, Melbourne, FL 32904
State ID:
P09000083299
Business type:
Domestic for Profit Corporation
President, Principal, Chairman, Treasurer, Secretary:
William D. Tanke (President, Principal, Chairman, Treasurer, Secretary)
Agent:
William Tanke

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