Paul G Rousseau Od PA

NPI #1003041906 in Melbourne, Florida

Provider Information

NPI Number: 1003041906
Entity Type: Organization
Organization Name: Paul G Rousseau Od PA
Primary Specialty: Optometrist
Enumeration Date: May 20, 2009
Last Updated: May 3, 2012

Practice Location

Address: 5455 MURRELL ROAD
Address 2: SUITE 107
City: Melbourne
State: Florida
ZIP Code: 32955-1986
Phone: (321) 636-1972

Authorized Official

Name: PAUL G ROUSSEAU, OD
Title: OWNER / PRESIDENT
Phone: (321) 636-1972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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