James Revennaugh, OD

NPI #1124251905 in Brooksville, Florida

Provider Information

NPI Number
1124251905
Entity Type
Individual
Name
James Revennaugh, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Aug 27, 2009
Last Updated
Jun 16, 2010

Practice Location

Address
86 PONCE DE LEON BLVD
State
Florida
ZIP Code
34601-2818
Phone
(352) 796-2141

Specialties & Taxonomy Codes

Specialty
Optometrist

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