Paul Desantis, OD

NPI #1033733720 in Port St Lucie, Florida

Provider Information

NPI Number: 1033733720
Entity Type: Individual
Name: Paul Desantis, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 29, 2020
Last Updated: Sep 23, 2021

Practice Location

Address: 1850 SW GATLIN BLVD
City: Port St Lucie
State: Florida
ZIP Code: 34953-2703
Phone: (772) 336-9281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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